The usefulness of magnetic resonance imaging for the prognostic evaluation of patients with heart failure
DOI:
https://doi.org/10.56294/saludcyt2023263Keywords:
Heart Failure, Cardiomyopathy, Cardiovascular Magnetic ResonanceAbstract
Introduction: the role of magnetic resonance imaging (MRI) in heart failure (HF) is much discussed, both in the etiological and prognostic evaluation of this disease. Therefore, a description of the usefulness of MRI would show us its role in the evaluation of prognosis in patients with HF of various etiologies.
Aim: to describe the usefulness of MRI for the evaluation of prognosis in patients with HF of various etiologies.
Methodology: a narrative literature review was carried out by means of a search in databases such as PubMed, Scopus, Elsevier and Springer (BMC).
Results: cardiac magnetic resonance (CMR) is superior to echocardiography in assessing left ventricular volumes and function with better reproducibility, also when analyzing systolic abnormalities and characterizing viable myocardial tissue, as well as that with the presence of myocardial fibrosis. Precisely, the detection of myocardial fibrosis has a predictive value for adverse events in patients with HF.
Conclusion: CMR is useful to identify previously undetected pathology and pathologies that are difficult to diagnose. Thus, its use is associated with better diagnostic performance and, therefore, a better predictor of adverse events in patients with HF
References
1. Kurmani S, Squire I. Acute Heart Failure: Definition, Classification and Epidemiology. Curr Heart Fail Rep 2017; 14(5):385-92. https://doi.org/10.1007/s11897-017-0351-y
2. Lainščak M, Milinković I, Polovina M, Crespo-Leiro MG, Lund LH, Anker SD, et al. Sex- and age-related differences in the management and outcomes of chronic heart failure: an analysis of patients from the ESC HFA EORP Heart Failure Long-Term Registry. Eur J Heart Fail 2020; 22(1):92-102. https://doi.org/10.1002/ejhf.1645
3. Groenewegen A, Rutten FH, Mosterd A, Hoes AW. Epidemiology of heart failure. Eur J Heart Fail 2020; 22(8):1342-56. https://doi.org/10.1002/ejhf.1858
4. Ciapponi A, Alcaraz A, Calderón M, Matta MG, Chaparro M, Soto N, et al. Carga de enfermedad de la insuficiencia cardiaca en América Latina: revisión sistemática y metanálisis. Rev Esp Cardiol 2016; 69(11):1051-60.
5. Merchán P, Cevallos N, Tarapués M. Prevalencia de factores de riesgo para tromboembolismo venoso en pacientes hospitalizados: estudio multicéntrico en cinco hospitales de la ciudad de Quito-Ecuador. Rev Med Vozandes 2012; 23(1):23-9.
6. Censos IN de E y. Proyecciones Poblacionales. Instituto Nacional de Estadística y Censos. 2011.
7. Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail 2016; 18(8):891-975. https://doi.org/10.1002/ejhf.592
8. Wong C, Chen S, Iyngkaran P. Cardiac Imaging in Heart Failure with Comorbidities. Curr Cardiol Rev 2017; 13(1):63-75. https://doi.org/10.2174/1573403x12666160803100928
9. Adigopula S, Grapsa J. Advances in Imaging and Heart Failure: Where are we Heading? Card Fail Ver 2018; 4(2):73-7. https://doi.org/10.15420/cfr.2018.5.2
10. Nguyen KL, Hu P, Finn JP. CMR Quantification of Structure-Function Relationships in Heart Failure. Heart Fail Clin 2021; 17(1):9-24. https://doi.org/10.1016/j.hfc.2020.08.001
11. Patel AR, Kramer CM. Role of Cardiac Magnetic Resonance in the Diagnosis and Prognosis of Nonischemic Cardiomyopathy. JACC Cardiovasc Imaging 2017; 10(10, Part A):1180-93. https://doi.org/10.1016/j.jcmg.2017.08.005
12.White JA, Patel MR. The role of cardiovascular MRI in heart failure and the cardiomyopathies. Cardiol Clin 2007; 25(1):71-95, vi. https://doi.org/10.1016/j.ccl.2007.02.003
13.Peterzan MA, Rider OJ, Anderson LJ. The Role of Cardiovascular Magnetic Resonance Imaging in Heart Failure. Card Fail Rev 2016; 2(2):115-22. https://doi.org/10.15420/cfr.2016.2.2.115
14. Konstam MA, Kramer DG, Patel AR, Maron MS, Udelson JE. Left Ventricular Remodeling in Heart Failure: Current Concepts in Clinical Significance and Assessment. JACC Cardiovasc Imaging 2011; 4(1):98-108. https://doi.org/10.1016/j.jcmg.2010.10.008
15. Assomull RG, Shakespeare C, Kalra PR, Lloyd G, Gulati A, Strange J, et al. Role of cardiovascular magnetic resonance as a gatekeeper to invasive coronary angiography in patients presenting with heart failure of unknown etiology. Circulation 2011; 124(12):1351-60. https://doi.org/10.1161/CIRCULATIONAHA.110.011346
16. Kanagala P, Cheng ASH, Singh A, McAdam J, Marsh AM, Arnold JR, et al. Diagnostic and prognostic utility of cardiovascular magnetic resonance imaging in heart failure with preserved ejection fraction – implications for clinical trials. J Cardiovasc Magn Reson 2018; 20:4. https://doi.org/10.1186/s12968-017-0424-9
17. Lin G, Dong B, Li Y, Huang W. Diagnostic value of cardiac magnetic resonance imaging for myocardial fibrosis in patients with heart failure and its predictive value for prognosis. Am J Transl Res 2022; 14(7):4657-65.
18. Reindl M, Stiermaier T, Lechner I, Tiller C, Holzknecht M, Mayr A, et al. Cardiac magnetic resonance imaging improves prognostic stratification of patients with ST-elevation myocardial infarction and preserved ejection fraction. Eur Heart J Open 2021; 1(3):oeab033. https://doi.org/10.1093/ehjopen/oeab033
19. Garg P, Lewis RA, Johns CS, Swift AJ, Capener D, Rajaram S, et al. Cardiovascular magnetic resonance predicts all-cause mortality in pulmonary hypertension associated with heart failure with preserved ejection fraction. Int J Cardiovasc Imaging 2021; 37(10):3019-25. https://doi.org/10.1007/s10554-021-02279-z
20. Chun K, Oh J, Hong YJ, Yu HT, Lee CJ, Kim T, et al. Prognostic Cardiac Magnetic Resonance Markers of Left Ventricular Involvement in Arrhythmogenic Cardiomyopathy for Predicting Heart Failure Outcomes. J Am Heart Assoc Cardiovasc Cerebrovasc Dis 2022; 11(6):e023167. https://doi.org/10.1161/JAHA.121.023167
21. Roy C, Slimani A, de Meester C, Amzulescu M, Pasquet A, Vancraeynest D, et al. Associations and prognostic significance of diffuse myocardial fibrosis by cardiovascular magnetic resonance in heart failure with preserved ejection fraction. J Cardiovasc Magn Reson 2018; 20(1):1-12. https://doi.org/10.1186/s12968-018-0477-4.
22. Kato S, Saito N, Kirigaya H, Gyotoku D, Iinuma N, Kusakawa Y, et al. Prognostic significance of quantitative assessment of focal myocardial fibrosis in patients with heart failure with preserved ejection fraction. Int J Cardiol 2015; 191:314-9. https://doi.org/10.1016/j.ijcard.2015.05.048
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Copyright (c) 2023 Jorge Andrés Lozano Aveiga , María Daniela Toro , Roberto Carlos Mora Vera , Byron Enrique Peña Cordero (Author)
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