Cardiogenic shock MRI
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Overview
New non-invasive imaging techniques such as cardiovascular magnetic resonance (CMR) imaging promise the non-invasive diagnosis of myocarditis which can be the cause of cardiogenic shock. Considering the hallmarks of acute and chronic myocarditis (accumulation of inflammatory cells; swelling, necrosis and/or apoptosis of cardiomyocytes; increase in extracellular space and water content; myocardial remodelling with fibrotic tissue replacement), an imaging modality such as CMR that enables non-invasive detection of changes in myocardial tissue composition is highly valuable and welcome.
MRI
MRI
The MRI is usually not recommended as an initial imaging study, when evaluating patients with cardiogenic shock. However, New non-invasive imaging techniques such as cardiovascular magnetic resonance (CMR) imaging promise the non-invasive diagnosis of myocarditis which can be the cause of cardiogenic shock. Considering the hallmarks of acute and chronic myocarditis (accumulation of inflammatory cells; swelling, necrosis and/or apoptosis of cardiomyocytes; increase in extracellular space and water content; myocardial remodelling with fibrotic tissue replacement), an imaging modality such as CMR that enables non-invasive detection of changes in myocardial tissue composition is highly valuable and welcome.[1]
References
References
- ↑ Yilmaz A, Ferreira V, Klingel K, Kandolf R, Neubauer S, Sechtem U (November 2013). “Role of cardiovascular magnetic resonance imaging (CMR) in the diagnosis of acute and chronic myocarditis”. Heart Fail Rev. 18 (6): 747–60. doi:10.1007/s10741-012-9356-5. PMID 23076423.
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