Role of Cardiovascular Magnetic Resonance in Ischemic Cardiomyopathy
Ischemic heart disease is the most common cause of cardiovascular morbidity and mortality. Cardiac magnetic resonance (CMR) improves on other noninvasive modalities in detection, assessment, and prognostication of ischemic heart disease. The incorporation of CMR in clinical trials allows for smaller patient samples without the sacrifice of power needed to demonstrate clinical efficacy. CMR can accurately quantify infarct acuity, size, and complications; guide therapy; and prognosticate recovery. Timing of revascularization remains the holy grail of ischemic heart disease, and viability assessment using CMR may be the missi...
Source: Heart Failure Clinics - October 28, 2020 Category: Cardiology Authors: Aneesh S. Dhore-Patil, Ashish Aneja Source Type: research
Magnetic Resonance-Based Characterization of Myocardial Architecture
Advances in technology have made it possible to image the microstructure of the heart with diffusion-weighted magnetic resonance. The technique provides unique insights into the cellular architecture of the myocardium and how this is perturbed in a range of disease contexts. In this review, the physical basis of diffusion MRI and the challenges of implementing it in the beating heart are discussed. Cutting edge acquisition and analysis techniques, as well as the results of initial clinical studies, are reported. (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - October 28, 2020 Category: Cardiology Authors: David E. Sosnovik Source Type: research
Assessment of Pericardial Disease with Cardiovascular MRI
Disorders of the pericardium are common and can result in significant morbidity and mortality. Advances in multimodality imaging have enhanced our ability to diagnose and stage pericardial disease and improve our understanding of the pathophysiology of the disease. Cardiovascular MRI (CMR) can be used to define pericardial anatomy, identify the presence and extent of active pericardial inflammation, and assess the hemodynamic consequences of pericardial disease. In this way, CMR can guide the judicial use of antiinflammatory and immune modulatory medications and help with timing of pericardiectomy. CMR can also be used to ...
Source: Heart Failure Clinics - October 28, 2020 Category: Cardiology Authors: Natalie Ho, Gillian Nesbitt, Kate Hanneman, Paaladinesh Thavendiranathan Source Type: research
The Role of Cardiovascular MRI in Cardio-Oncology
“Cardiac imaging is an essential tool in the field of cardio-oncology. Cardiovascular magnetic resonance (CMR) stands out for its accuracy, reproducibility, and ability to provide tissue characterization. These attributes are particularly helpful in screening and diagnosing cardiotoxicity, infiltr ative disease, and inflammatory cardiac disease. The ability of CMR to detect subtle changes in cardiac function and tissue composition has made it a useful tool for understanding the pathophysiology of cardiotoxicity. Because of these unique features, CMR is gaining prominence in both the clinical and research aspects of cardi...
Source: Heart Failure Clinics - October 28, 2020 Category: Cardiology Authors: Wendy Bottinor, Cory R. Trankle, W. Gregory Hundley Source Type: research
Cardiovascular Magnetic Resonance of Myocardial Fibrosis, Edema, and Infiltrates in Heart Failure
This article describes available methods of tissue characterization imaging applied in CMR. The presence and patterns of abnormal tissue characterization are related to common etiologies of heart failure and the techniques employed to demonstrate this. CMR provides the opportunity to identify the etiology of heart failure based on the recognition of different patterns of myocardial abnormalities. (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - October 28, 2020 Category: Cardiology Authors: Kate Liang, Anna Baritussio, Alberto Palazzuoli, Matthew Williams, Estefania De Garate, Iwan Harries, Chiara Bucciarelli-Ducci Source Type: research
When to Use Cardiovascular Magnetic Resonance in Patients with Heart Failure
Use of cardiac magnetic resonance (CMR) to aid in diagnosis, management, and prognosis of ischemic and nonischemic cardiomyopathy has advanced tremendously in the past several decades. These advances have expanded our understanding of both ischemic and nonischemic cardiomyopathies while also allowing for new avenues of diagnosis and treatment. This review summarizes key concepts of CMR technology and CMR use in the diagnosis and prognosis in ischemic, infiltrative, inflammatory, and other nonischemic cardiomyopathies and discusses the use of CMR in the patient presenting with ventricular arrhythmia with unclear diagnosis a...
Source: Heart Failure Clinics - October 28, 2020 Category: Cardiology Authors: Roopa A. Rao, Omar Jawaid, Christopher Janish, Subha V. Raman Source Type: research
Erratum
An error was made in Volume 16, Issue 3 of Heart Failure Clinics on page 349 in “Clinical Application of Stress Echocardiography in Management of Heart Failure” by Kenya Kusunose. Table 1 should appear as follows. (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - September 2, 2020 Category: Cardiology Source Type: research
The Critical Need for Process Improvement in Heart Failure
When we conceived our vision for a contribution to Heart Failure Clinics on process improvement in heart failure in mid-2018, we could not have imagined the future we would have to navigate (as of this writing in mid-2020). We have faced 3 major forces that have emphasized that indeed process improvement leading to ideal execution is a much needed skillset if today ’s challenges are to be overcome and success is to be realized in 2020 and beyond. Those 3 forces have included striking progress in new therapeutics and new approaches in the treatment of heart failure1; the glaring exposition of still evident health care dis...
Source: Heart Failure Clinics - September 2, 2020 Category: Cardiology Authors: Clyde W. Yancy, R. Kannan Mutharasan, Eduardo Bossone Tags: Preface Source Type: research
Process Improvement in Heart Failure
If you can't describe what you are doing as a process, you don't know what you're doing. —W. Edwards Deming (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - September 2, 2020 Category: Cardiology Authors: Larry A. Allen, Gregg C. Fonarow Tags: Introduction Source Type: research
Process Improvement in Heart Failure
Heart Failure Clinics (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - September 2, 2020 Category: Cardiology Authors: Clyde W. Yancy, R. Kannan Mutharasan Source Type: research
Copyright
ELSEVIER (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - September 2, 2020 Category: Cardiology Source Type: research
Contributors
EDUARDO BOSSONE, MD, PhD, FCCP, FESC, FACC (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - September 2, 2020 Category: Cardiology Source Type: research
Contents
Clyde W. Yancy, R. Kannan Mutharasan and Eduardo Bossone (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - September 2, 2020 Category: Cardiology Source Type: research
Forthcoming Issues
Cardiovascular Magnetic Resonance (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - September 2, 2020 Category: Cardiology Source Type: research
Empowering People Living with Heart Failure
Heart failure is a chronic disease with a multitude of different clinical manifestations. Empowering people living with heart failure requires education, support structure, understanding the needs of patients, and reimaging the care delivery systems currently offered to patients. In this article, the authors discuss practical approaches to activate and empower people with heart failure and enable patient-provider dialogue and shared decision making. (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - July 28, 2020 Category: Cardiology Authors: Peter Wohlfahrt, Josef Stehlik, Irene Z. Pan, John J. Ryan Source Type: research
