Using Routine Cardiac MRI vs. Echocardiography (with Selective MRI) in Nonischemic Heart Failure

Routine MRI doesn't improve diagnostic specificity or patient outcomes.

Cardiac magnetic resonance (CMR) imaging is increasingly used to assess structure and function. In cardiomyopathy, CMR is used to assess patients for evidence of infiltration or inflammation; late gadolinium enhancement, a common finding in cardiomyopathies, has prognostic implications. These investigators assessed routine CMR versus echocardiography with selective use of CMR in patients with newly diagnosed or worsening heart failure (HF).

The study cohort comprised 500 individuals (mean age, 59; 69% men; preserved systolic function, 7%; mean left ventricular ejection fraction, 29%) with either new or established HF and deterioration within the previous year. Those with prior CMR or with HF attributed to coronary disease were excluded. Part…

Reviewing Author

Frederick A. Masoudi, MD, MSPH, FACC, FAHA

Disclosures

Consultant/Advisory BoardBristol Myers Squibb; CPC Clinical Research

Grant/Research SupportNational Heart, Lung, and Blood Institute

Editorial BoardsUpToDate; American College of Cardiology Self-Assessment Program (SAP)

Leadership Positions in Professional SocietiesAmerican College of Cardiology (Chair, Innovations Committee)