Key result
Echo and CMR offer complementary diagnostic and prognostic value for phenotyping HFpEF and HFrEF.
Why the study?
Heart failure with reduced or preserved ejection fraction is increasingly prevalent, and defining the role and complementary strengths of echocardiography and cardiac magnetic resonance helps guide diagnosis, patient management, and individualized treatment.
Echocardiography and cardiac magnetic resonance play complementary roles in characterizing myocardial phenotypes and dysfunction in patients with HFpEF and HFrEF.
Supports integrated echo-CMR phenotyping in HFpEF/HFrEF; leaves open prospective outcome trials.
Heart failure (HF) with either reduced or preserved ejection fraction is an increasingly prevalent condition. Cardiac imaging plays a central role in trying to identify the underlying cause of the underlying systolic and diastolic dysfunction, as the imaging findings have implications for patient's management and individualised treatment. The imaging modalities used more frequently in patients with heart failure in clinical routine are echocardiography and cardiac magnetic resonance. Both techniques keep some strengths and weakness due to their spatial and temporal resolution. Notably, several features in the diagnostic algorithm of heart failure with preserved systolic function (HFpEF) may be improved by an integrated approach. This review focuses on the role of each modality in characterising cardiac anatomy, systolic and diastolic function as well as myocardial tissue characterisation in the most common phenotypes of dilated and hypertrophied hearts.
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Berlot et al. (2019) conducted a review in Heart failure (HFpEF and HFrEF). Echocardiography and Cardiac Magnetic Resonance was evaluated. Echocardiography and cardiac magnetic resonance imaging provide complementary diagnostic and prognostic information for phenotyping myocardial dysfunction in patients with HFpEF and HFrEF.
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