Vidal-Perez R, Brandão M, Zaher W, Casado-Arroyo R, Bouzas-Mosquera A, Fontes-Carvalho R, Vazquez-Rodriguez JM. Value of cardiac magnetic resonance on the risk stratification of cardiomyopathies. World J Cardiol 2023; 15(10): 487-499 [PMID: 37900906 DOI: 10.4330/wjc.v15.i10.487]
Corresponding Author of This Article
Rafael Vidal-Perez, FACC, FESC, PhD, Reader (Associate Professor), Staff Physician, Servicio de Cardiología, Unidad de Imagen y Función Cardíaca, Complexo Hospitalario Universitario A Coruña Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), As Xubias de Arriba-84, A Coruña 15006, Galicia, Spain. rafavidal@hotmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Oct 26, 2023; 15(10): 487-499 Published online Oct 26, 2023. doi: 10.4330/wjc.v15.i10.487
Value of cardiac magnetic resonance on the risk stratification of cardiomyopathies
Rafael Vidal-Perez, Mariana Brandão, Wael Zaher, Ruben Casado-Arroyo, Alberto Bouzas-Mosquera, Ricardo Fontes-Carvalho, Jose Manuel Vazquez-Rodriguez
Rafael Vidal-Perez, Alberto Bouzas-Mosquera, Servicio de Cardiología, Unidad de Imagen y Función Cardíaca, Complexo Hospitalario Universitario A Coruña Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), A Coruña 15006, Galicia, Spain
Mariana Brandão, Ricardo Fontes-Carvalho, Department of Cardiology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia 4434-502, Portugal
Wael Zaher, Ruben Casado-Arroyo, Department of Cardiology, Hôpital Erasme, Université Libre de Bruxelles, Brussels 1070, Brussels, Belgium
Ricardo Fontes-Carvalho, Cardiovascular R&D Centre - UnIC@RISE, Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto 4200-319, Portugal
Jose Manuel Vazquez-Rodriguez, Servicio de Cardiología, Complexo Hospitalario Universitario A Coruña, A Coruña 15006, A Coruña, Spain
Author contributions: Vidal-Perez R designed, edited and wrote the final paper; Brandão M, Zaher W, Casado-Arroyo R, Bouzas-Mosquera A, Fontes-Carvalho R performed the collection of the data and helped in writing the original draft; Vidal-Perez R and Vazquez-Rodriguez JM contributed to the critical revision of the paper.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rafael Vidal-Perez, FACC, FESC, PhD, Reader (Associate Professor), Staff Physician, Servicio de Cardiología, Unidad de Imagen y Función Cardíaca, Complexo Hospitalario Universitario A Coruña Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), As Xubias de Arriba-84, A Coruña 15006, Galicia, Spain. rafavidal@hotmail.com
Received: July 30, 2023 Peer-review started: July 30, 2023 First decision: September 4, 2023 Revised: September 18, 2023 Accepted: September 27, 2023 Article in press: September 27, 2023 Published online: October 26, 2023 Processing time: 85 Days and 8.1 Hours
Abstract
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 imperative 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 explores 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 detection and differentiation of various cardiomyopathy subtypes. Additionally, it offers valuable insights into myocardial fibrosis, tissue viability, and left ventricular 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.
Core Tip: Cardiomyopathies encompass a diverse range of diseases affecting the heart muscle, each with varied causes. Symptoms of cardiomyopathies can manifest differently and change over time, necessitating regular evaluation through cardiac imaging techniques. These approaches play a crucial role in diagnosis, treatment guidance, and prognosis optimization. To enhance the precision of anatomical and functional evaluation and obtain valuable prognostic insights, cardiovascular magnetic resonance (CMR) is typically employed. By integrating CMR into clinical practice, clinicians can tailor patient-specific treatment plans, implement timely interventions, and optimize long-term prognosis This manuscript aims to explore how the CMR contribute to the diagnosis and management of patients with cardiomyopathies specially focus on the risk stratification.
