Valvular Cardiomyopathy: The Value of Cardiovascular Magnetic Resonance Imaging

Cardiovascular magnetic resonance (CMR) imaging has had a vast impact on the understanding of a wide range of disease processes and pathophysiological mechanisms. More recently, it has contributed significantly to the diagnosis and risk stratification of patients with valvular heart disease. With it...

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Main Authors: Vasiliki Tsampasian, Sandeep S. Hothi, Thuwarahan Ravindrarajah, Andrew J. Swift, Pankaj Garg, Vassilios S. Vassiliou
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2022/3144386
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author Vasiliki Tsampasian
Sandeep S. Hothi
Thuwarahan Ravindrarajah
Andrew J. Swift
Pankaj Garg
Vassilios S. Vassiliou
author_facet Vasiliki Tsampasian
Sandeep S. Hothi
Thuwarahan Ravindrarajah
Andrew J. Swift
Pankaj Garg
Vassilios S. Vassiliou
author_sort Vasiliki Tsampasian
collection DOAJ
description Cardiovascular magnetic resonance (CMR) imaging has had a vast impact on the understanding of a wide range of disease processes and pathophysiological mechanisms. More recently, it has contributed significantly to the diagnosis and risk stratification of patients with valvular heart disease. With its increasing use, CMR allows for a detailed, reproducible, qualitative, and quantitative evaluation of left ventricular volumes and mass, thereby enabling assessment of the haemodynamic impact of a valvular lesion upon the myocardium. Postprocessing of the routinely acquired images with feature tracking CMR methodology can give invaluable information about myocardial deformation and strain parameters that suggest subclinical ventricular impairment that remains undetected by conventional measures such as the ejection fraction (EF). T1 mapping and late gadolinium enhancement (LGE) imaging provide deep myocardial tissue characterisation that is changing the approach towards risk stratification of patients as an increasing body of evidence suggests that the presence of fibrosis is related to adverse events and prognosis. This review summarises the current evidence regarding the utility of CMR in the left ventricular assessment of patients with aortic stenosis or mitral regurgitation and its value in diagnosis, risk stratification, and management.
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publishDate 2022-01-01
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series Cardiology Research and Practice
spelling doaj-art-a1962b267b304a04ab1f8d07de8dafb12025-02-03T01:07:16ZengWileyCardiology Research and Practice2090-05972022-01-01202210.1155/2022/3144386Valvular Cardiomyopathy: The Value of Cardiovascular Magnetic Resonance ImagingVasiliki Tsampasian0Sandeep S. Hothi1Thuwarahan Ravindrarajah2Andrew J. Swift3Pankaj Garg4Vassilios S. Vassiliou5Norwich Medical SchoolThe Institute of Cardiovascular SciencesNorfolk and Norwich University HospitalDepartment of InfectionNorwich Medical SchoolNorwich Medical SchoolCardiovascular magnetic resonance (CMR) imaging has had a vast impact on the understanding of a wide range of disease processes and pathophysiological mechanisms. More recently, it has contributed significantly to the diagnosis and risk stratification of patients with valvular heart disease. With its increasing use, CMR allows for a detailed, reproducible, qualitative, and quantitative evaluation of left ventricular volumes and mass, thereby enabling assessment of the haemodynamic impact of a valvular lesion upon the myocardium. Postprocessing of the routinely acquired images with feature tracking CMR methodology can give invaluable information about myocardial deformation and strain parameters that suggest subclinical ventricular impairment that remains undetected by conventional measures such as the ejection fraction (EF). T1 mapping and late gadolinium enhancement (LGE) imaging provide deep myocardial tissue characterisation that is changing the approach towards risk stratification of patients as an increasing body of evidence suggests that the presence of fibrosis is related to adverse events and prognosis. This review summarises the current evidence regarding the utility of CMR in the left ventricular assessment of patients with aortic stenosis or mitral regurgitation and its value in diagnosis, risk stratification, and management.http://dx.doi.org/10.1155/2022/3144386
spellingShingle Vasiliki Tsampasian
Sandeep S. Hothi
Thuwarahan Ravindrarajah
Andrew J. Swift
Pankaj Garg
Vassilios S. Vassiliou
Valvular Cardiomyopathy: The Value of Cardiovascular Magnetic Resonance Imaging
Cardiology Research and Practice
title Valvular Cardiomyopathy: The Value of Cardiovascular Magnetic Resonance Imaging
title_full Valvular Cardiomyopathy: The Value of Cardiovascular Magnetic Resonance Imaging
title_fullStr Valvular Cardiomyopathy: The Value of Cardiovascular Magnetic Resonance Imaging
title_full_unstemmed Valvular Cardiomyopathy: The Value of Cardiovascular Magnetic Resonance Imaging
title_short Valvular Cardiomyopathy: The Value of Cardiovascular Magnetic Resonance Imaging
title_sort valvular cardiomyopathy the value of cardiovascular magnetic resonance imaging
url http://dx.doi.org/10.1155/2022/3144386
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