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Multimodality imaging in chronic heart failure

  • CARDIAC RADIOLOGY
  • Published:
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Abstract

The prevalence of heart failure (HF) is approximately 1–2% of the adult population in developed countries, rising to  ≥ 10% among people over 70. The common symptoms of HF include shortness of breath, ankle swelling and fatigue, determined by a reduced cardiac output. Multimodality imaging is crucial to define HF etiology, determine prognosis and guiding tailored treatments. Echocardiography is the most widely used imaging modality and maintains a pivotal role in the initial diagnostic work-up and in the follow-up of HF patients. Cardiac magnetic resonance (CMR) may support the morpho-functional assessment provided by echocardiography when the acoustic window is limited or a gold standard evaluation is required. Furthermore, CMR is frequently used due to the unmatched capability to characterize myocardial structure. Coronary computed tomography angiography has become the non-invasive imaging of choice to diagnose or rule-out coronary artery disease, acquiring remarkable importance in the management of HF patients. Moreover, emerging capabilities of CT-based tissue characterization may be useful, especially when CMR is contraindicated. Finally, chest CT may contribute to precisely define the framework of HF patients, revealing new insight about cardiopulmonary pathophysiological interactions with potential high prognostic value.

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Authors and Affiliations

  1. Department of Clinical Medicine, Public Health, Life and Environmental Sciences, University of L’Aquila, L’Aquila, Italy

    Ernesto Di Cesare

  2. Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy

    Scipione Carerj

  3. Experimental Imaging Center, Radiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

    Anna Palmisano, Davide Vignale & Antonio Esposito

  4. School of Medicine, Vita-Salute San Raffaele University, Milan, Italy

    Anna Palmisano, Davide Vignale & Antonio Esposito

  5. Department of Biomedical Science, Dental, Morphological and Functional Images, University of Messina, Messina, Italy

    Maria Ludovica Carerj

  6. Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, Italy

    Federica Catapano & Marco Francone

  7. Department of Medical Sciences, Internal Medicine and Cardiorespiratory Section, University of Ferrara, Ferrara, Italy

    Annamaria Di Cesare

  8. Department of Clinical Sciences, Section of Diagnostic Imaging, University Hospital of Parma, Parma, Italy

    Gianluca Milanese & Nicola Sverzellati

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  1. Ernesto Di Cesare
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Correspondence to Antonio Esposito.

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Di Cesare, E., Carerj, S., Palmisano, A. et al. Multimodality imaging in chronic heart failure. Radiol med 126, 231–242 (2021). https://doi.org/10.1007/s11547-020-01245-4

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