Multimodality Imaging in Advanced Heart Failure for Diagnosis, Management and Follow-Up. A Comprehensive Review

Pergola, V.; Cameli, M.; Mattesi, G.; Mushtaq, S.; D’Andrea, A.; Guaricci, A.I.; Pastore, M.C.; Amato, F.; Dellino, C.M.; Motta, R.; et al. Multimodality Imaging in Advanced Heart Failure for Diagnosis, Management and Follow-Up: A Comprehensive Review. Journal of Clinical Medicine 2023, 12, 7641, doi:10.3390/jcm12247641. Pergola, V.; Cameli, M.; Mattesi, G.; Mushtaq, S.; D’Andrea, A.; Guaricci, A.I.; Pastore, M.C.; Amato, F.; Dellino, C.M.; Motta, R.; et al. Multimodality Imaging in Advanced Heart Failure for Diagnosis, Management and Follow-Up: A Comprehensive Review. Journal of Clinical Medicine 2023, 12, 7641, doi:10.3390/jcm12247641.

Abstract

Advanced heart failure (AHF) presents a complex landscape with challenges spanning diagnosis, management, and patient outcomes. In response, the integration of multimodality imaging techniques has emerged as a pivotal approach. This comprehensive review delves into the profound significance of these imaging strategies within AHF scenarios. Multimodality imaging, encompassing echocardiography, cardiac magnetic resonance imaging (CMR), and cardiac computed tomography (CCT), stands as a cornerstone in the care of patients with both short- and long-term mechanical support devices. These techniques facilitate precise device selection, placement, and vigilant monitoring, ensuring patient safety and optimal device functionality. In the context of orthotopic cardiac transplant (OTC), the role of multimodality imaging remains indispensable. Echocardiography offers invaluable insights into allograft function and potential complications. Advanced methods, like speckle tracking echocardiography (STE), empower the detection of acute cell rejection. CMR and CCT further enhance diagnostic precision, especially concerning allograft rejection and cardiac allograft vasculopathy. This comprehensive imaging approach goes beyond diagnosis, shaping treatment strategies and risk assessment. By harmonizing diverse imaging modalities, clinicians gain a panoramic understanding of each patient's unique condition, facilitating well-informed decisions. Thus, this review underscores the irreplaceable role of multimodality imaging in elevating patient outcomes, refining treatment precision, and propelling advancements in the evolving landscape of advanced heart failure management.

Keywords

multimodality imaging; advanced heart failure; extracorporeal cardiac support; cardiac transplant

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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