Cardiac Magnetic Resonance Quantification of Structure-Function Relationships in Heart Failure

Heart Fail Clin. 2021 Jan;17(1):9-24. doi: 10.1016/j.hfc.2020.08.001. Epub 2020 Oct 28.

Abstract

Classification of heart failure is based on the left ventricular ejection fraction (EF): preserved EF, midrange EF, and reduced EF. There remains an unmet need for further heart failure phenotyping of ventricular structure-function relationships. Because of high spatiotemporal resolution, cardiac magnetic resonance (CMR) remains the reference modality for quantification of ventricular contractile function. The authors aim to highlight novel frameworks, including theranostic use of ferumoxytol, to enable more efficient evaluation of ventricular function in heart failure patients who are also frequently anemic, and to discuss emerging quantitative CMR approaches for evaluation of ventricular structure-function relationships in heart failure.

Keywords: 4D flow; Cardiac function and morphology; Cardiovascular magnetic resonance; Diffusion tensor; Ferumoxytol; Heart failure; Myocardial microstructure; Strain.

Publication types

  • Review

MeSH terms

  • Heart Failure / diagnosis*
  • Heart Failure / physiopathology
  • Heart Ventricles / diagnostic imaging*
  • Humans
  • Magnetic Resonance Imaging, Cine / methods*
  • Magnetic Resonance Spectroscopy / methods*
  • Stroke Volume / physiology*
  • Structure-Activity Relationship
  • Ventricular Function, Left / physiology*