J Cardiovasc Ultrasound.  2013 Jun;21(2):45-55.

Role of Imaging in the Detection of Reversible Cardiomyopathy

Affiliations
  • 1Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Oh, USA. tom.marwick@utas.edu.au
  • 2Cardiology Division of Internal Medicine, Chungnam National University College of Medicine, Chungnam National University Hospital, Daejeon, Korea.
  • 3Menzies Research Institute Tasmania, Hobart, Australia.

Abstract

Heart failure is a major clinical problem in developed countries with about half of heart failure patients exhibiting decreased left ventricular systolic function. The correct identification and prompt treatment of some specific etiologies can reverse heart failure, and recognition of myocardial recovery may avoid long-term therapy. However, the echocardiographic patterns of patients with a variety of etiologies of heart failure are similar, so the selective use of other imaging techniques is necessary for identification of specific etiologies. The role of repeat imaging in monitoring the therapeutic response is controversial, as is the cessation of medical therapy in patients demonstrating recovery.

Keyword

Heart failure; Reversible cardiomyopathy; Echocardiography; Cardiac magnetic resonance imaging

MeSH Terms

Cardiomyopathies
Developed Countries
Echocardiography
Heart Failure
Humans

Figure

  • Fig. 1 The patterns of delayed hyperenhancement of the heart. HCM: hypertrophic cardiomyopathy, RV: right ventricle, DCM: dilated cardiomyopathy.


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