Current Insights and Novel Cardiovascular Magnetic Resonance-Based Techniques in the Prognosis of Non-Ischemic Dilated Cardiomyopathy

被引：5

作者：

Perone, Francesco ^{[1
]}

Dentamaro, Ilaria ^{[2
]}

La Mura, Lucia ^{[3
]}

Alifragki, Angeliki ^{[4
]}

Marketou, Maria ^{[4
]}

Cavarretta, Elena ^{[5
,6
]}

Papadakis, Michael ^{[7
]}

Androulakis, Emmanuel ^{[7
,8
]}

机构：

[1] Rehabil Clin Villa Magnolie, Cardiac Rehabil Unit, I-81020 Castel Morrone, Italy

[2] Hosp Policlin Bari, Cardiol Dept, I-70124 Bari, Italy

[3] Univ Federico II Naples, Dept Adv Biomed Sci, I-80133 Naples, Italy

[4] Univ Gen Hosp Heraklion, Dept Cardiol, Iraklion 71500, Greece

[5] Sapienza Univ Rome, Dept Med Surg Sci & Biotechnol, Corso Repubbl 79, I-04100 Latina, Italy

[6] Mediterranea Cardioctr, I-80122 Naples, Italy

[7] St Georges Univ, Dept Cardiol, London SW17 0QT, England

[8] Guys & St Thomas NHS Fdn Trust, Royal Brompton Hosp, Cardiovasc Imaging Ctr, London SW3 6NP, England

来源：

JOURNAL OF CLINICAL MEDICINE | 2024年 / 13卷 / 04期

关键词：

cardiac magnetic resonance; dilated cardiomyopathy; myocardial fibrosis; parametric mapping; extracellular volume; gray zone fibrosis; SUDDEN CARDIAC DEATH; LATE GADOLINIUM ENHANCEMENT; VENTRICULAR-ARRHYTHMIAS; RISK STRATIFICATION; FIBROSIS; ASSOCIATION; GUIDELINES; MORTALITY; THERAPY; SOCIETY;

D O I：

10.3390/jcm13041017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiac magnetic resonance (CMR) imaging has an important emerging role in the evaluation and management of patients with cardiomyopathies, especially in patients with dilated cardiomyopathy (DCM). It allows a non-invasive characterization of myocardial tissue, thus assisting early diagnosis and precise phenotyping of the different cardiomyopathies, which is an essential step for early and individualized treatment of patients. Using imaging techniques such as late gadolinium enhancement (LGE), standard and advanced quantification as well as quantitative mapping parameters, CMR-based tissue characterization is useful in the differential diagnosis of DCM and risk stratification. The purpose of this article is to review the utility of CMR in the diagnosis and management of idiopathic DCM, as well as risk prediction and prognosis based on standard and emerging CMR contrast and non-contrast techniques. This is consistent with current evidence and guidance moving beyond traditional prognostic markers such as ejection fraction.

引用

页数：11

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