Gosling Rebecca C, Al-Mohammad Abdallah
Department of Cardiology, Sheffield Teaching Hospitals NHS Foundation Trust Sheffield, UK.
Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield Sheffield, UK.
Card Fail Rev. 2022 Jun 24;8:e22. doi: 10.15420/cfr.2021.33. eCollection 2022 Jan.
Heart failure (HF) is a major health burden associated with significant morbidity and mortality. Approximately half of all HF patients have reduced ejection fraction (left ventricular ejection fraction <40%) at rest (HF with reduced ejection fraction). The aetiology of HF is complex, and encompasses a wide range of cardiac conditions, hereditary defects and systemic diseases. Early identification of aetiology is important to allow personalised treatment and prognostication. Cardiac imaging has a major role in the assessment of patients with HF with reduced ejection fraction, and typically incorporates multiple imaging modalities, each with unique but complimentary roles. In this review, the comprehensive role of cardiac imaging in the diagnosis, assessment of aetiology, treatment planning and prognostication of HF with reduced ejection fraction is discussed.
心力衰竭（HF）是一种与严重发病率和死亡率相关的重大健康负担。所有HF患者中约有一半在静息时射血分数降低（左心室射血分数<40%）（射血分数降低的HF）。HF的病因复杂，包括多种心脏疾病、遗传缺陷和全身性疾病。早期识别病因对于实现个性化治疗和预后评估很重要。心脏成像在射血分数降低的HF患者评估中起着主要作用，通常采用多种成像方式，每种方式都有独特但互补的作用。在本综述中，将讨论心脏成像在射血分数降低的HF的诊断、病因评估、治疗规划和预后评估中的综合作用。
