Prognostic Implications of Blunted Feature-Tracking Global Longitudinal Strain During Vasodilator Cardiovascular Magnetic Resonance Stress Imaging

Romano, Simone; Romer, Benjamin; Evans, Kaleigh L.; Trybula, Michael; Shenoy, Chetan; Kwong, Raymond Y.; Farzaneh‐Far, Afshin

doi:10.1016/j.jcmg.2019.03.002

Cited by 34 publications

(18 citation statements)

References 27 publications

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“…CMR tagging is validated and currently accepted as a standard for strain imaging [32]. Left ventricular strain after vasodilator stress has been shown to be an independent predictor for adverse cardiac events in a recently concluded prospective study [29]. Similar studies have shown the value of strain analysis for other cardiac chambers in specific clinical situations such as prediction of adverse cardiac events with right atrial strain in patients with pulmonary arte-rial hypertension [19].…”

Section: Strain Imagingmentioning

confidence: 97%

Cardiac MRI—Update 2020

et al. 2020

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Section: Strain Imagingmentioning

confidence: 97%

Cardiac MRI—Update 2020

et al. 2020

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“…Strain imaging has shown its incremental value to improve diagnosis and quantification of wall motion disturbances in acute and chronic ischemic cardiomyopathy in preclinical animal models [ 16 ] and human studies [ 17 – 19 ]. Recent publications demonstrated the incremental prognostic value of strain imaging in risk stratification after myocardial infarction [ 20 – 23 ]. Nevertheless, there is neither established consensus nor standardization for strain imaging as different post-processing tools use different algorithms to calculate strain parameters.…”

Section: Functional Analysis To Evaluate Wall Motion Disturbances Andmentioning

confidence: 99%

“…Furthermore, the use of strain imaging has been shown to reduce inter-observer variability for the detection of wall motion abnormalities [ 75 ]. Finally, blunted global longitudinal strain at stress has been shown to be an independent predictor of MACE in patients with known or suspected coronary artery disease with incremental value to standard clinical and imaging risk factors [ 23 ].…”

Section: Stress Imaging To Detect Inducible Ischemiamentioning

confidence: 99%

CMR for myocardial characterization in ischemic heart disease: state-of-the-art and future developments

et al. 2021

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Ischemic heart disease and its sequelae are one of the major contributors to morbidity and mortality worldwide. Over the last decades, technological developments have strengthened the role of noninvasive imaging for detection, risk stratification, and management of patients with ischemic heart disease. Cardiac magnetic resonance (CMR) imaging incorporates both functional and morphological characterization of the heart to determine presence, acuteness, and severity of ischemic heart disease by evaluating myocardial wall motion and function, the presence and extent of myocardial edema, ischemia, and scarring. Currently established clinical protocols have already demonstrated their diagnostic and prognostic value. Nevertheless, there are emerging imaging technologies that provide additional information based on advanced quantification of imaging biomarkers and improved diagnostic accuracy, therefore potentially allowing reduction or avoidance of contrast and/or stressor agents. The aim of this review is to summarize the current state of the art of CMR imaging for ischemic heart disease and to provide insights into promising future developments.

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“…Multiple large scale studies have demonstrated superiority of CMR perfusion compared to SPECT for detection of myocardial ischemia, and reduction in unnecessary angiography (26)(27)(28). Additionally, cardiac ischemia can be further assessed by measuring global longitudinal strain whereby Romano et al (29) demonstrated a significant relationship between global longitudinal strain > −19% and major adverse cardiovascular events in patients undergoing stress CMR.…”

Section: Perfusion Imagingmentioning

confidence: 99%

Cardiovascular magnetic resonance imaging for structural heart disease

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Moreyra

et al. 2020

Cardiovasc Diagn Ther

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Cardiovascular magnetic resonance (CMR) has increasingly become a powerful imaging technique over the past few decades due to increasing knowledge about clinical applications, operator experience and technological advances, including the introduction of high field strength magnets, leading to improved signal-to-noise ratio. Its success is attributed to the free choice of imaging planes, the wide variety of imaging techniques, and the lack of harmful radiation. Developments in CMR have led to the accurate evaluation of cardiac structure, function and tissues characterisation, so this non-invasive technique has become a powerful tool for a broad range of cardiac pathologies. This review will provide an introduction of magnetic resonance imaging (MRI) physics, an overview of the current techniques and clinical application of CMR in structural heart disease, and illustrated examples of its use in clinical practice.

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Prognostic Implications of Blunted Feature-Tracking Global Longitudinal Strain During Vasodilator Cardiovascular Magnetic Resonance Stress Imaging

Cited by 34 publications

References 27 publications

Cardiac MRI—Update 2020

Cardiac MRI—Update 2020

CMR for myocardial characterization in ischemic heart disease: state-of-the-art and future developments

Cardiovascular magnetic resonance imaging for structural heart disease

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