Journal
JOURNAL OF CLINICAL MEDICINE
Volume 11, Issue 20, Pages -Publisher
MDPI
DOI: 10.3390/jcm11206201
Keywords
heart failure; cardiac imaging; echocardiography; cardiac magnetic resonance; computed tomography; positron emission tomography
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Heart failure is a central issue in cardiology, with cardiac imaging playing a crucial role in its identification and monitoring. While echocardiography is the first diagnostic step, other imaging techniques are often needed for further clarification of the underlying diseases.
Heart failure is becoming the central problem in cardiology. Its recognition, differential diagnosis, and the monitoring of therapy are intimately coupled with cardiac imaging. Cardiac imaging has witnessed an explosive growth and differentiation, with echocardiography continuing as the first diagnostic step; the echocardiographic exam itself has become considerably more complex than in the last century, with the assessment of diastolic left ventricular function and strain imaging contributing important information, especially in heart failure. Very often, however, echocardiography can only describe the fact of functional impairment and morphologic remodeling, whereas further clarification of the underlying disease, such as cardiomyopathy, myocarditis, storage diseases, sarcoidosis, and others, remains elusive. Here, cardiovascular magnetic resonance and perfusion imaging should be used judiciously to arrive as often as possible at a clear diagnosis which ideally enables specific therapy.
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