Multimodality Imaging in Ischemic Chronic Cardiomyopathy

Giuseppe Muscogiuri*, Marco Guglielmo, Alessandra Serra, Marco Gatti, Valentina Volpato, Uwe Joseph Schoepf, Luca Saba, Riccardo Cau, Riccardo Faletti, Liam J. McGill, Carlo Nicola De Cecco, Gianluca Pontone, Serena Dell’aversana, Sandro Sironi

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Ischemic chronic cardiomyopathy (ICC) is still one of the most common cardiac diseases leading to the development of myocardial ischemia, infarction, or heart failure. The application of several imaging modalities can provide information regarding coronary anatomy, coronary artery disease, myocardial ischemia and tissue characterization. In particular, coronary computed tomography angiography (CCTA) can provide information regarding coronary plaque stenosis, its composition, and the possible evaluation of myocardial ischemia using fractional flow reserve CT or CT perfusion. Cardiac magnetic resonance (CMR) can be used to evaluate cardiac function as well as the presence of ischemia. In addition, CMR can be used to characterize the myocardial tissue of hibernated or infarcted myocardium. Echocardiography is the most widely used technique to achieve information regarding function and myocardial wall motion abnormalities during myocardial ischemia. Nuclear medicine can be used to evaluate perfusion in both qualitative and quantitative assessment. In this review we aim to provide an overview regarding the different noninvasive imaging techniques for the evaluation of ICC, providing information ranging from the anatomical assessment of coronary artery arteries to the assessment of ischemic myocardium and myocardial infarction. In particular this review is going to show the different noninvasive approaches based on the specific clinical history of patients with ICC.

Original languageEnglish
Article number35
JournalJournal of Imaging
Volume8
Issue number2
DOIs
Publication statusPublished - Feb 2022

Keywords

  • Cardiac magnetic resonance
  • Chronic ischemic cardiomyopathy
  • Computed tomography angiography
  • Echocardiography
  • Multimodality imaging
  • Nuclear medicine

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