Diagnosis and Management of Cardiomyopathies – A Focus on Genetics, Cardiac Magnetic Resonance and Clinical Features

2011 ◽  
Vol 7 (3) ◽  
pp. 225
Author(s):  
Gianfranco Sinagra ◽  
Michele Moretti ◽  
Giancarlo Vitrella ◽  
Marco Merlo ◽  
Rossana Bussani ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Imaging Techniques ◽  
Molecular Genetic ◽  
Molecular Genetic Analysis ◽  
Routine Clinical Practice ◽  
Clinical Approach ◽  
Diagnosis And Management ◽  
Made In

In recent years, outstanding progress has been made in the diagnosis and treatment of cardiomyopathies. Genetics is emerging as a primary point in the diagnosis and management of these diseases. However, molecular genetic analyses are not yet included in routine clinical practice, mainly because of their elevated costs and execution time. A patient-based and patient-oriented clinical approach, coupled with new imaging techniques such as cardiac magnetic resonance, can be of great help in selecting patients for molecular genetic analysis and is crucial for a better characterisation of these diseases. This article will specifically address clinical, magnetic resonance and genetic aspects of the diagnosis and management of cardiomyopathies.

scholarly journals Right ventricular assessment with cardiac magnetic resonance: usefulness in routine clinical practice compared to echocardiography

2009 ◽  
Vol 11 (S1) ◽  
Author(s):  
Covadonga Fernández-Golfín ◽  
José Zamorano Gómez ◽  
Cecilia Corros Vicente ◽  
Tibisay Sánchez ◽  
Joaquin Ferreiros ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Right Ventricular ◽  
Routine Clinical Practice

scholarly journals Cardiac magnetic resonance imaging in clinical practice

2014 ◽  
Vol 47 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Adriana Dias Barranhas ◽  
Alair Augusto S. M. D. dos Santos ◽  
Otavio R. Coelho-Filho ◽  
Edson Marchiori ◽  
Carlos Eduardo Rochitte ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Clinical Practice ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Cardiac Magnetic Resonance Imaging ◽  
Myocardial Viability ◽  
Outpatient Basis ◽  
Resonance Imaging ◽  
Pharmacological Stress ◽  
Positive Results

Objective To evaluate and describe indications, mainly diagnoses and cardiac magnetic resonance imaging findings observed in clinical practice. Materials and Methods Retrospective and descriptive study of cardiac magnetic resonance performed at a private hospital and clinic in the city of Niterói, RJ, Brazil, in the period from May 2007 to April 2011. Results The sample included a total of 1000 studies performed in patients with a mean age of 53.7 ± 16.2 years and predominance for male gender (57.2%). The majority of indications were related to assessment of myocardial perfusion at rest and under pharmacological stress (507/1000; 51%), with positive results in 36.2% of them. Suspected myocarditis was the second most frequent indication (140/1000; 14%), with positive results in 63.4% of cases. These two indications were followed by study of arrhythmias (116/1000; 12%), myocardial viability (69/1000; 7%) and evaluation of cardiomyopathies (47/1000; 5%). In a subanalysis, it was possible to identify that most patients were assessed on an outpatient basis (58.42%). Conclusion Cardiac magnetic resonance has been routinely performed in clinical practice, either on an outpatient or emergency/inpatient basis, and myocardial ischemia represented the main indication, followed by investigation of myocarditis, arrhythmogenic right ventricular dysplasia and myocardial viability.

scholarly journals Reduction of procedure times in routine clinical practice with Compressed SENSE magnetic resonance imaging technique

PLoS ONE ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. e0214887 ◽  
Author(s):  
Elisabeth Sartoretti ◽  
Thomas Sartoretti ◽  
Christoph Binkert ◽  
Arash Najafi ◽  
Árpád Schwenk ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Clinical Practice ◽  
Magnetic Resonance ◽  
Imaging Technique ◽  
Routine Clinical Practice ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Technique

scholarly journals Top-10 Tips for Getting Started with Magnetic Resonance Neurography

2019 ◽  
Vol 23 (04) ◽  
pp. 347-360
Author(s):  
Majid Chalian ◽  
Avneesh Chhabra
Keyword(s):  
Clinical Practice ◽  
Magnetic Resonance ◽  
Patient Selection ◽  
Peripheral Nerves ◽  
Imaging Technique ◽  
Routine Clinical Practice ◽  
Mr Neurography ◽  
Magnetic Resonance Neurography ◽  
Technical Cost ◽  
Imaging Pitfalls

AbstractMagnetic resonance neurography (MRN), also known as MR neurography, is a dedicated imaging technique for the peripheral nerves, used both in a clinical setting and research. However, like any other new diagnostic processes, there are technical, cost, and patient selection issues to overcome as well as potential imaging pitfalls to recognize before MRN can be adopted efficiently into routine clinical practice. This review focuses on the 10 most important practical tips to get started with MRN with a view to shortening the time needed for radiologists to implement this clinically useful technique into their imaging practices.

scholarly journals Cardiovascular Imaging Applications in Clinical Management of Patients Treated with Cardiac Resynchronization Therapy

Hearts ◽  
2020 ◽  
Vol 1 (3) ◽  
pp. 166-180
Author(s):  
Cinzia Valzania ◽  
Fredrik Gadler ◽  
Eva Maret ◽  
Maria J. Eriksson
Keyword(s):  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Nuclear Cardiology ◽  
Cardiac Resynchronization Therapy ◽  
Imaging Techniques ◽  
Cardiovascular Imaging ◽  
Cardiac Resynchronization ◽  
Reverse Remodeling ◽  
Resynchronization Therapy

Cardiovascular imaging techniques, including echocardiography, nuclear cardiology, multi-slice computed tomography, and cardiac magnetic resonance, have wide applications in cardiac resynchronization therapy (CRT). Our aim was to provide an update of cardiovascular imaging applications before, during, and after implantation of a CRT device. Before CRT implantation, cardiovascular imaging techniques may integrate current clinical and electrocardiographic selection criteria in the identification of patients who may most likely benefit from CRT. Assessment of myocardial viability by ultrasound, nuclear cardiology, or cardiac magnetic resonance may guide optimal left ventricular (LV) lead positioning and help to predict LV function improvement by CRT. During implantation, echocardiographic techniques may guide in the identification of the best site of LV pacing. After CRT implantation, cardiovascular imaging plays an important role in the assessment of CRT response, which can be defined according to LV reverse remodeling, function and dyssynchrony indices. Furthermore, imaging techniques may be used for CRT programming optimization during follow-up, especially in patients who turn out to be non-responders. However, in the clinical settings, the use of proposed functional indices for different imaging techniques is still debated, due to their suboptimal feasibility and reproducibility. Moreover, identifying CRT responders before implantation and turning non-responders into responders at follow-up remain challenging issues.

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