Emerging role of cardiac computed tomography in heart failure

ESC Heart Fail. 2019 Oct;6(5):909-920. doi: 10.1002/ehf2.12479. Epub 2019 Aug 10.

Abstract

Despite medical advancements, the prognosis of patients with heart failure remains poor. While echocardiography and cardiac magnetic resonance imaging remain at the forefront of diagnosing and monitoring patients with heart failure, cardiac computed tomography (CT) has largely been considered to have a limited role. With the advancements in scanner design, technology, and computer processing power, cardiac CT is now emerging as a valuable adjunct to clinicians managing patients with heart failure. In the current manuscript, we review the current applications of cardiac CT to patients with heart failure and also the emerging areas of research where its clinical utility is likely to extend into the realm of treatment, procedural planning, and advanced heart failure therapy implementation.

Keywords: Bioengineering; CT dyssynchrony; CT fusion; Cardiac computed tomography; Cardiomyopathy; Heart failure.

Publication types

  • Review

MeSH terms

  • Bioengineering / instrumentation
  • Cardiac Electrophysiology / instrumentation
  • Cardiomyopathies / diagnostic imaging*
  • Cardiomyopathies / pathology
  • Echocardiography / methods
  • Female
  • Heart Failure / diagnostic imaging*
  • Heart Failure / mortality
  • Heart Failure / physiopathology*
  • Heart Failure / therapy
  • Humans
  • Magnetic Resonance Imaging / methods
  • Myocardial Perfusion Imaging / methods
  • Prognosis
  • Stroke Volume / physiology
  • Tomography, X-Ray Computed / methods*