How to use MRI in cardiac disease with diastolic dysfunction?

Left ventricular (LV) diastolic dysfunction (DD) is an initially asymptomatic condition that can progress to heart failure, either with preserved or reduced ejection fraction. As such, DD is a growing public health problem. Impaired relaxation, the first stage of DD, is associated with altered LV fi...

Full description

Saved in:
Bibliographic Details
Published inBritish journal of radiology Vol. 97; no. 1159; p. 1203
Main Authors Cadour, Farah, Cour, Adrien, Senlis, Jules, Rapacchi, Stanislas, Chennoufi, Hajer, Michelin, Paul, McQuade, Colin, Demeyere, Matthieu, Dacher, Jean-Nicolas
Format Journal Article
LanguageEnglish
Published England 18.06.2024
Subjects
Diastole
Echocardiography - methods
Humans
Magnetic Resonance Imaging - methods
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular Dysfunction, Left - physiopathology
diastolic dysfunction
relaxometry
HFpEF
diastolic function
cardiac magnetic resonance
relaxation
Online AccessGet more information

Cover

More Information
Summary:Left ventricular (LV) diastolic dysfunction (DD) is an initially asymptomatic condition that can progress to heart failure, either with preserved or reduced ejection fraction. As such, DD is a growing public health problem. Impaired relaxation, the first stage of DD, is associated with altered LV filling. With progression, reducing LV compliance leads to restrictive cardiomyopathy. While cardiac magnetic resonance (CMR) imaging is the reference for LV systolic function assessment, transthoracic echocardiography (TTE) with Doppler flow measurements remains the standard for diastolic function assessment. Rather than simply replicating TTE measurements, CMR should complement and further advance TTE findings. We provide herein a step-by-step review of CMR findings in DD as well as imaging features which may help identify the underlying cause.
ISSN:1748-880X
DOI:10.1093/bjr/tqae071