Myocardial phenotypes and dysfunction in HFpEF and HFrEF assessed by echocardiography and cardiac magnetic resonance

Bostjan Berlot, Chiara Bucciarelli-Ducci, Alberto Palazzuoli, Paolo Marino

Research output: Contribution to journalReview article (Academic Journal)peer-review

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Abstract

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.

Original languageEnglish
Number of pages10
JournalHeart Failure Reviews
Early online date14 Nov 2019
DOIs
Publication statusE-pub ahead of print - 14 Nov 2019

Bibliographical note

The acceptance date for this record is provisional and based upon the month of publication for the article.

Keywords

  • echocardiography
  • cardiac magnetic resonance imaging
  • ischemic and non-ischemic heart failure
  • systolic and diastolic dysfunction

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