Abstract
Chronic heart failure is a common disease placing significant burdens on patients and health-care services. Noninvasive imaging plays a key role in accurate diagnosis, determination of etiology and prognosis, and in monitoring of therapy. Cardiovascular magnetic resonance (CMR) allows both a valuable clinical and research toll for a comprehensive assessment of heart failure patients. Currently, CMR constitutes the gold standard imaging technique for accurate and reproducible measurement of myocardial anatomy, regional and global function, perfusion and viability. In addition, it allows evaluation of acute tissue damage (edema and necrosis), fibrosis, infiltration and iron overload. The information derived from CMR often reveals the underlying etiology of heart failure, and its high measurement accuracy makes it an ideal technique for monitoring disease evolution and the effects of therapy. Evidence on the prognostic value of CMR-derived parameters in heart failure is rapidly emerging.
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