Advancing Cardiovascular Diagnostics: The Expanding Role of CMR in Heart Failure and Cardiomyopathies

被引：2

作者：

Parlati, Antonio Luca Maria ^{[1
]}

Nardi, Ermanno ^{[1
]}

Marzano, Federica ^{[1
]}

Madaudo, Cristina ^{[2
]}

Di Santo, Mariafrancesca ^{[1
]}

Cotticelli, Ciro ^{[1
]}

Agizza, Simone ^{[1
]}

Abbellito, Giuseppe Maria ^{[1
]}

Filardi, Fabrizio Perrone ^{[1
]}

Del Giudice, Mario ^{[1
]}

Annunziata, Francesco Ruggiero ^{[1
]}

Martone, Isabel ^{[1
]}

Prastaro, Maria ^{[1
]}

Paolillo, Stefania ^{[1
]}

Filardi, Pasquale Perrone ^{[1
]}

Gargiulo, Paola ^{[1
]}

机构：

[1] Univ Naples Federico II, Dept Adv Biomed Sci, I-80131 Naples, Italy

[2] Univ Palermo, Univ Hosp P Giaccone, Dept Hlth Promot Mother & Child Care Internal Med, Cardiol Unit, I-90127 Palermo, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2025年 / 14卷 / 03期

关键词：

cardiac magnetic resonance; heart failure; cardiomyopathies; CARDIAC MAGNETIC-RESONANCE; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; PRESERVED EJECTION FRACTION; LATE GADOLINIUM ENHANCEMENT; GLOBAL LONGITUDINAL STRAIN; VENTRICULAR NON-COMPACTION; ANDERSON-FABRY-DISEASE; HYPERTROPHIC CARDIOMYOPATHY; DILATED CARDIOMYOPATHY; MYOCARDIAL FIBROSIS;

D O I：

10.3390/jcm14030865

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiovascular magnetic resonance (CMR) imaging has become a cornerstone in the diagnosis, risk stratification, and management of cardiovascular disease (CVD), particularly heart failure (HF) and cardiomyopathies. Renowned as the gold standard for non-invasive quantification of ventricular volumes and ejection fraction, CMR delivers superior spatial and temporal resolution with excellent tissue-blood contrast. Recent advancements, including T1, T2, and T2* mapping, extracellular volume quantification, and late gadolinium enhancement, enable precise tissue characterization, allowing early detection of myocardial changes such as fibrosis, edema, and infiltration. These features provide critical insights into the pathophysiological mechanisms underlying HF phenotypes and diverse cardiomyopathies, enhancing diagnostic accuracy and guiding therapeutic decisions. This review explores the expanding role of CMR in CV disease, highlighting its diagnostic value in HF and in several cardiomyopathies, as well as its contribution to improving patient outcomes through detailed tissue characterization and prognosis.

引用

页数：19

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