Key result
Echocardiography remains the primary imaging modality in heart failure, while cardiovascular magnetic resonance serves a complementary role and invasive cardiac catheterization use may be diminishing.
Why the study?
What is the role of multimodality imaging in the diagnosis and management of heart failure patients?
What is the role of multimodality imaging in the diagnosis and management of heart failure patients?
Echocardiography remains the cornerstone of heart failure imaging, with CMR playing an expanding complementary role that may diminish the reliance on invasive catheterization.
Affirms echocardiography-first imaging in HF; leaves open whether CMR reduces catheterization needs in practice.
PURPOSE OF REVIEW: Imaging plays a central role in the diagnosis, assessment of cause and guiding treatment in heart failure. Several modalities are available that are of relevance in patients with heart failure, although echocardiography continues to be the method of choice due to widespread availability, good safety profile and low cost. RECENT FINDINGS: Echocardiography is appropriate in diagnosis of heart failure when placed in clinical context and supported by measurement of biomarkers. New methods of diagnosis of heart failure with preserved ejection fraction are emerging. The role of cardiovascular magnetic resonance (CMR) continues to expand in assessing cause of heart failure, with simpler methods for assessment of myocardial deformation and extracellular fibrosis. These progressively supplant the use of cardiac catheterization, although the value of myocardial viability assessment is now questionable. As utilization of cardiac resynchronization therapy continues to grow, the role of dyssynchrony beyond the ECG is being re-evaluated. SUMMARY: Echocardiography remains at the forefront in heart failure, although CMR is complementary and the role of invasive cardiac catheterization may be diminishing.
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Richard P. Steeds (2013) conducted a review in Heart failure. Multimodality imaging was evaluated. Echocardiography remains the primary imaging modality in heart failure, while cardiovascular magnetic resonance serves a complementary role and invasive cardiac catheterization use may be diminishing.
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