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Advanced Non-invasive Imaging Techniques in Chronic Heart Failure and Cardiomyopathies

Focus on Cardiac Magnetic Resonance Imaging and Computed Tomographic

  • Chapter
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Heart Failure: From Research to Clinical Practice

Part of the book series: Advances in Experimental Medicine and Biology ((AIM,volume 1067))

Abstract

Cardiomyopathies (Cs) are a heterogeneous group of myocardial diseases with structural and/or functional abnormalities.

The aetiology is due to genetic-family substrate in most cases, however, the correct and detailed analysis of morphofunctional abnormalities (severity and distribution of hypertrophy, ventricular dilatation, ventricular dysfunction) and tissue characteristics (myocardial fibrosis, myocardial infiltration) are a crucial element for a definite diagnosis.

Among the different diagnostic imaging modalities applied in clinical practice (echocardiography, nuclear medicine), cardiac magnetic resonance (CMR) has emerged as a non-invasive diagnostic tool having high ability to quantify systolic function and tissue abnormalities that represent the substrates of many Cs.

The main added value of CMR is the ability to identify cardiomyopathies with respect to ischemic heart disease and, above all, to discriminate the major types of cardiomyopathies based on morpho-functional presentation patterns and the presence and location of myocardial fibrosis.

Many CMR elements allow increasing diagnostic accuracy but CMR data should be integrated with an appropriate clinical and instrumental context.

Computed Tomographic (CT) scan technology has showed a complementary role in patients having Cs and HF.

In this chapter, the diagnostic, pathophysiologic and prognostic value of CMR and CT in heart failure due to the most common cardiomyopathies will be discussed.

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Authors and Affiliations

  1. Graduate School of Medicine and Surgery, Post-graduate Residency School in Cardiology, Department of Clinical and Experimental Medicine – Cardiology Unit, University Hospital Medical School “Gaetano Martino”, Messina, Italy

    Gianluca Di Bella, Fausto Pizzino, Dalia Di Nunzio & Cesare de Gregorio

  2. Graduate School of Medicine and Surgery, Post-graduate Residency School in Cardiology, Department of Radiological Sciences – Radiology Unit, University Hospital Medical School “Gaetano Martino”, Messina, Italy

    Rocco Donato

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  1. Gianluca Di Bella
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  2. Fausto Pizzino
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  4. Dalia Di Nunzio
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  5. Cesare de Gregorio
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Correspondence to Gianluca Di Bella .

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Editors and Affiliations

  1. Department of Clinical Sciences and Education, Karolinska Institutet, Stockholm, Sweden

    Md. Shahidul Islam

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Di Bella, G., Pizzino, F., Donato, R., Di Nunzio, D., de Gregorio, C. (2018). Advanced Non-invasive Imaging Techniques in Chronic Heart Failure and Cardiomyopathies. In: Islam, M. (eds) Heart Failure: From Research to Clinical Practice. Advances in Experimental Medicine and Biology(), vol 1067. Springer, Cham. https://doi.org/10.1007/5584_2018_183

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