Galzerano Domenico, Savo Maria Teresa, Castaldi Biagio, Kholaif Naji, Khaliel Feras, Pozza Alice, Aljheish Saif, Cattapan Irene, Martini Marika, Lassandro Eleonora, Cordoni Gabriele, Tansella Donatella, Cozac Dan Alexandru, Alamro Bandar, Di Salvo Giovanni
College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia.
Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi Arabia.
J Clin Med. 2024 Sep 27;13(19):5759. doi: 10.3390/jcm13195759.
Heart failure (HF) remains a critical global health challenge, necessitating advancements in diagnostic and therapeutic strategies. This review explores the evolution of imaging technologies and their impact on HF management, focusing on three-dimensional echocardiography (3DE), myocardial strain imaging, and vortex dynamics imaging. Three-dimensional echocardiography enhances traditional echocardiography by providing more accurate assessments of cardiac structures, while myocardial strain imaging offers the early detection of subclinical myocardial dysfunction, crucial in conditions such as chemotherapy-induced cardiotoxicity and ischemic heart disease. Vortex dynamics imaging, a novel technique, provides insights into intracardiac flow patterns, aiding in the evaluation of left ventricular function, valve diseases, and congenital heart anomalies. The integration of these advanced imaging modalities into clinical practice facilitates personalized treatment strategies, enabling the earlier diagnosis and more precise monitoring of disease progression. The ongoing refinement of these imaging techniques holds promise for improving patient outcomes and advancing the field of precision medicine in HF care.
心力衰竭（HF）仍然是一项严峻的全球健康挑战，需要在诊断和治疗策略方面取得进展。本综述探讨了成像技术的发展及其对HF管理的影响，重点关注三维超声心动图（3DE）、心肌应变成像和涡旋动力学成像。三维超声心动图通过提供对心脏结构更准确的评估来增强传统超声心动图，而心肌应变成像可早期检测亚临床心肌功能障碍，这在化疗引起的心脏毒性和缺血性心脏病等病症中至关重要。涡旋动力学成像作为一种新技术，可深入了解心内血流模式，有助于评估左心室功能、瓣膜疾病和先天性心脏异常。将这些先进的成像模式整合到临床实践中有助于制定个性化治疗策略，能够更早地诊断疾病并更精确地监测疾病进展。这些成像技术的不断完善有望改善患者预后，并推动HF护理领域的精准医学发展。
