PMID- 21424346
OWN - NLM
STAT- MEDLINE
DCOM- 20110816
LR  - 20211020
IS  - 1615-6692 (Electronic)
IS  - 0340-9937 (Linking)
VI  - 36
IP  - 2
DP  - 2011 Mar
TI  - [The role of cardiovascular magnetic resonance imaging in the diagnosis and 
      prognosis of patients with heart failure].
PG  - 84-93
LID - 10.1007/s00059-010-3418-z [doi]
AB  - Cardiovascular magnetic resonance (CMR) imaging is a tomographic technique, which 
      allows three-dimensional slice orientation without limitations from acoustic 
      windows inherent to echocardiography. Further advantages of CMR are its high 
      temporal and spatial resolution, its excellent soft tissue resolution and its 
      high blood-to-tissue contrast. Cardiovascular magnetic resonance is currently the 
      only imaging technique, which provides a comprehensive study of both structure 
      and function of the heart as well as myocardial perfusion and viability. 
      Moreover, post-processing of CMR images does not require any geometric 
      assumptions as in echocardiography to determine ventricular dimensions. This is 
      particularly important when evaluating ventricles of patients with chronic heart 
      failure with severely altered morphology that may have regional variations in 
      wall thickness and contractility at least in ischemic cardiomyopathy. The highly 
      reproducible results of CMR imaging have turned this technique into a reference 
      standard for the non-invasive assessment of ventricular dimensions, mass and 
      function. In cases with indeterminate results of clinical, electrocardiographic 
      and particularly echocardiographic findings CMR should be used early in the 
      process of diagnosis of patients with heart failure. Not only can altered 
      structure and degree of ventricular and valvular dysfunctions be accurately 
      assessed but also regional perfusion deficits and/or myocardial scars are easily 
      detected. For therapeutic and prognostic reasons a simple differentiation between 
      ischemic and non-ischemic cardiomyopathy should be achieved as the first 
      diagnostic step. In addition, the type and localization of the late gadolinium 
      enhancement (LGE) phenomenon may aid in non-invasively differentiating the 
      etiology of non-ischemic cardiomyopathy. CMR may also improve the assessment and 
      extent of interventricular and intraventricular dyssynchrony in patients to be 
      selected for cardiac resynchronization therapy (CRT). Lastly, the LGE phenomenon 
      may provide independent prognostic information in patients with a CRT system 
      implanted, as well as in patients with ischemic and non-ischemic cardiomyopathy. 
      Thus, CMR imaging should be implemented early in the diagnostic process of 
      patients with heart failure to significantly improve the speed and accuracy of 
      diagnostic procedures, to control the effect of therapeutic measures, and to 
      select patients with a limited prognosis by assessing the degree of ventricular 
      dysfunction and the extent of myocardial scarring.
FAU - Hombach, V
AU  - Hombach V
AD  - Klinik fur Innere Medizin II, Universitatsklinikum Ulm, Albert-Einstein-Allee 23, 
      89081, Ulm, Deutschland. vinzenz@hombach.us
FAU - Merkle, N
AU  - Merkle N
FAU - Rasche, V
AU  - Rasche V
FAU - Bernhardt, P
AU  - Bernhardt P
FAU - Rottbauer, W
AU  - Rottbauer W
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Die Rolle der Kardio-MRT bei Diagnose und Prognosebeurteilung der 
      Herzinsuffizienz.
PL  - Germany
TA  - Herz
JT  - Herz
JID - 7801231
SB  - IM
MH  - Heart Failure/*complications/*diagnosis
MH  - Humans
MH  - Magnetic Resonance Imaging, Cine/*methods/*trends
MH  - Myocardial Infarction/*complications/*diagnosis
MH  - Prognosis
EDAT- 2011/03/23 06:00
MHDA- 2011/08/17 06:00
CRDT- 2011/03/23 06:00
PHST- 2011/03/23 06:00 [entrez]
PHST- 2011/03/23 06:00 [pubmed]
PHST- 2011/08/17 06:00 [medline]
AID - 10.1007/s00059-010-3418-z [doi]
PST - ppublish
SO  - Herz. 2011 Mar;36(2):84-93. doi: 10.1007/s00059-010-3418-z.