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Role of Cardiovascular Magnetic Resonance Imaging in Heart Failure

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Current Approach to Heart Failure

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Abstract

The role of CMR is steadily increasing for the whole spectrum of cardiovascular diseases, including heart failure, by its ability to offer comprehensive anatomical, functional and tissue characterization information in one safe and non-irradiating examination. CMR has proven usefulness in all stages of management of heart failure patients (particularly those with reduced ejection fraction), from first diagnosis, establishing etiology and allowing risk stratification to guiding therapy and follow-up.

More than offering a highly accurate and reproducible quantification of ventricular volumes and ejection fraction, CMR enables the differentiation between ischemic and non-ischemic etiologies of heart failure. Furthermore, CMR permits non-invasive ischemia testing in addition to viability assessment in ischemic cardiomyopathies and can also discriminate between different types of non-ischemic cardiomyopathies. Furthermore, late gadolinium enhancement CMR plays an important role in risk stratification of both ischemic and non-ischemic heart failure. Finally, recent clinical data support an emerging role of CMR in guiding device therapy.

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  1. Department of Cardiology and Angiology, University Hospital Münster, Munster, Germany

    Anca Florian & Ali Yilmaz

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  1. Emergency Clinical Hospital of Bucharest, UMF Carol Davila – Bucharest Emergency Clinical Hospital of Bucharest, Bucharest, Romania

    Maria Dorobanţu

  2. Department of Cardiology, University Heart Center Department of Cardiology, Zürich, Switzerland

    Frank Ruschitzka

  3. Section of Cardiovascular Diseases, University of Brescia Section of Cardiovascular Diseases, Brescia, Italy

    Marco Metra

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Florian, A., Yilmaz, A. (2016). Role of Cardiovascular Magnetic Resonance Imaging in Heart Failure. In: Dorobanţu, M., Ruschitzka, F., Metra, M. (eds) Current Approach to Heart Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-45237-1_8

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