Computed Tomography in Heart Failure

  • Joshua G Kovoor
  • Aravinda Thiagalingam
  • Clara K ChowEmail author
Cardiac Computed Tomography (B Chow and G Small, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Cardiac Computed Tomography


Purpose of Review

The purpose of this paper was to review the role of cardiac computed tomography (CCT) in both the diagnostic and management pathways of heart failure.

Recent Findings

CT has an essential role in non-invasively excluding coronary artery disease but also can provide additional information that can aid the investigation of the patient presenting with heart failure. CT images provide high-quality information about cardiac structure and pericardium. Cardiac anatomical information, such as the location and size of coronary sinuses, can assist in lead placement in cardiac resynchronisation therapy. Cardiac CT with fractional flow reserve calculation can also provide functional information on the severity of coronary stenosis. Cardiac CT with delayed contrast enhancement also has an emerging role in myocardial tissue characterisation which can contribute to risk stratification in cardiomyopathy patients. CT also may fit better into pathways of screening and monitoring of potential adverse cardiac events in the short-term and long-term assessment of cancer patients who may already be getting a CT for other reasons.


CT has an evolving role in both the diagnosis and management of heart failure and future research could examine the potential risks, benefits, efficiency and costs of clinical pathways where cardiac CT is more central to the diagnosis and management of patients with heart failure and possible cardiomyopathy.


Computed tomography Heart failure Delayed enhancement Coronary artery disease Coronary artery calcium score Ventricular systolic dysfunction Ventricular diastolic dysfunction Cardiomyopathy 


Compliance with Ethical Standards

Conflict of Interest

All authors declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Joshua G Kovoor
    • 1
  • Aravinda Thiagalingam
    • 2
    • 3
  • Clara K Chow
    • 2
    • 3
    Email author
  1. 1.Adelaide Medical School, Faculty of Health and Medical SciencesThe University of AdelaideAdelaideAustralia
  2. 2.Department of Cardiology, Westmead HospitalWestmeadAustralia
  3. 3.Westmead Applied Research Centre, Faculty of Medicine and HealthUniversity of SydneyWestmeadAustralia

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