Cardiac magnetic resonance as a leading imaging modality to diagnose and manage patients with heart failure: A paradigm shift in cardiac imaging

Matsumoto Kenji

doi:10.11312/ccm.42.83

Heart failure (HF) rates are rapidly increasing, which is so-called “HF pandemic”. It is important to note that HF is not a disease itself but a syndrome caused by the impairment to the cardiac function as a pump to support the circulatory system. Accordingly, establishing its underlying cause is vital to adequate diagnosis and optimal treatment for HF. Cardiac magnetic resonance (CMR) imaging use in the context of HF has increased over the last decade as it is able to provide detailed, quantitative information on function, morphology, and myocardial tissue composition. Therefore, CMR has potential to be a leading imaging modality to diagnose and manage patients with HF in modern cardiology. However, CMR is not yet something that usually happens in a routine clinical environment because it requires enough training to capture and interpret the imaging about which most cardiologists have been unfamiliar. To bring out the full potential of CMR in HF management, there is a need for a paradigm shift in CMR from an imaging modality for uncommon HF etiologies to an excellent tool to solve the clinical questions that cardiologists often encounter. This review summarized recent evidence and guidelines for CMR and discussed its potential utility in the clinical practice, presenting different illustrative cases.

Cardiac magnetic resonance as a leading imaging modality to diagnose and manage patients with heart failure: A paradigm shift in cardiac imaging

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