Kramer U, May AE, Mangold S, Krumm P, Claussen CD. [Cardiac magnetic resonance tomography in the diagnostics of restrictive and unclassified cardiopathies].
Radiologe 2013;
53:45-53. [PMID:
23160570 DOI:
10.1007/s00117-012-2384-2]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
CLINICAL/METHODICAL ISSUE
Besides ischemic heart disease cardiomyopathies are common causes of heart failure and sudden cardiac death.
STANDARD RADIOLOGICAL METHODS
The diagnostic spectrum in cardiomyopathies comprises non-invasive and invasive examination techniques.
METHODICAL INNOVATIONS
The exact verification of certain cardiomyopathies necessitates knowledge of the latest classification of cardiomyopathies as well as dedicated examination protocols.
PERFORMANCE
Modern imaging modalities, such as echocardiography and cardiac magnetic resonance imaging (MRI) have emerged as useful imaging tools in the investigation of patients suspected of having many different types of cardiomyopathies.
ACHIEVEMENTS
Based on a better understanding of the underlying pathophysiology several diagnostic criteria have been defined using cardiac MRI. In particular there is an increasing importance of cardiac MRI in the description of patients with restrictive and unclassified cardiomyopathies.
PRACTICAL RECOMMENDATIONS
Echocardiography still remains the modality of choice in the diagnostics of unclear left ventricular heart failure. Further diagnostic work-up should include cardiac MRI in case of any lack of clarity.
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