Vidal-Perez Rafael, Brandão Mariana, Zaher Wael, Casado-Arroyo Ruben, Bouzas-Mosquera Alberto, Fontes-Carvalho Ricardo, Vazquez-Rodriguez Jose Manuel
Servicio de Cardiología, Unidad de Imagen y Función Cardíaca, Complexo Hospitalario Universitario A Coruña Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), A Coruña 15006, Galicia, Spain.
Department of Cardiology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia 4434-502, Portugal.
World J Cardiol. 2023 Oct 26;15(10):487-499. doi: 10.4330/wjc.v15.i10.487.
Cardiomyopathies represent a diverse group of heart muscle diseases with varying etiologies, presenting a diagnostic challenge due to their heterogeneous manifestations. Regular evaluation using cardiac imaging techniques is imperative as symptoms can evolve over time. These imaging approaches are pivotal for accurate diagnosis, treatment planning, and optimizing prognostic outcomes. Among these, cardiovascular magnetic resonance (CMR) stands out for its ability to provide precise anatomical and functional assessments. This manuscript explores the significant contributions of CMR in the diagnosis and management of patients with cardiomyopathies, with special attention to risk stratification. CMR's high spatial resolution and tissue characterization capabilities enable early detection and differentiation of various cardiomyopathy subtypes. Additionally, it offers valuable insights into myocardial fibrosis, tissue viability, and left ventricular function, crucial parameters for risk stratification and predicting adverse cardiac events. By integrating CMR into clinical practice, clinicians can tailor patient-specific treatment plans, implement timely interventions, and optimize long-term prognosis. The non-invasive nature of CMR reduces the need for invasive procedures, minimizing patient discomfort. This review highlights the vital role of CMR in monitoring disease progression, guiding treatment decisions, and identifying potential complications in patients with cardiomyopathies. The utilization of CMR has significantly advanced our understanding and management of these complex cardiac conditions, leading to improved patient outcomes and a more personalized approach to care.
心肌病是一组病因各异的心肌疾病,因其表现多样而带来诊断挑战。由于症状会随时间演变,使用心脏成像技术进行定期评估至关重要。这些成像方法对于准确诊断、治疗规划以及优化预后结果起着关键作用。其中,心血管磁共振成像(CMR)因其能够提供精确的解剖和功能评估而脱颖而出。本文探讨了CMR在心肌病患者诊断和管理中的重要贡献,特别关注风险分层。CMR的高空间分辨率和组织特征分析能力能够早期检测和区分各种心肌病亚型。此外,它还能提供有关心肌纤维化、组织存活能力和左心室功能的有价值信息,这些都是风险分层和预测不良心脏事件的关键参数。通过将CMR纳入临床实践,临床医生可以制定针对患者的个性化治疗方案,及时进行干预,并优化长期预后。CMR的非侵入性减少了侵入性检查的需求,最大限度地减轻了患者的不适。本综述强调了CMR在监测心肌病患者疾病进展、指导治疗决策以及识别潜在并发症方面的重要作用。CMR的应用显著提升了我们对这些复杂心脏疾病的理解和管理水平,从而改善了患者的治疗效果,并实现了更个性化的医疗护理。