Value of cardiac magnetic resonance on the risk stratification of cardiomyopathies  

作　　者：Rafael Vidal-Perez Mariana Brandao Wael Zaher Ruben Casado-Arroyo Alberto Bouzas-Mosquera Ricardo Fontes-Carvalho Jose Manuel Vazquez-Rodriguez 

机构地区：[1]Servicio de Cardiologia,Unidad de Imagen y Funcion Cardiaca,Complexo Hospitalario Universitario A Coruña Centro de Investigacion Biomedica en Red de Enfermedades Cardiovasculares(CIBERCV),A Coruna 15006,Galicia,Spain [2]Department of Cardiology,Centro Hospitalar de Vila Nova de Gaia/Espinho,Vila Nova de Gaia 4434-502,Portugal [3]Department of Cardiology,Hôpital Erasme,Universite Libre de Bruxelles,Brussels 1070,Brussels,Belgium [4]Cardiovascular R&D Centre-UnIC@RISE,Department of Surgery and Physiology,Faculty of Medicine of the University of Porto,Porto 4200-319,Portugal [5]Servicio de Cardiología,Complexo Hospitalario Universitario A Coruña,A Coruña 15006,A Coruña,Spain

出　　处：《World Journal of Cardiology》2023年第10期487-499,共13页世界心脏病学杂志（英文版）（电子版）

摘　　要：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 impera-tive 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 ex-plores 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 detec-tion and differentiation of various cardiomyopathy subtypes.Additionally,it offers valuable insights into myocardial fibrosis,tissue viability,and left ven-tricular 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.

关 键 词：Cardiac magnetic resonance CARDIOMYOPATHIES PROGNOSIS Dilated cardiomyopathy Hypertrophic cardiomyopathy Restrictive cardiomyopathy 

分 类 号：R597.2[医药卫生—内科学]