Cardiovascular Imaging

ABCIC

Editorial

Contemporary Non-Invasive Imaging in Chronic Coronary Syndrome: What Stress Cardiovascular Magnetic Resonance has to Offer

Isabella Leo et al. Laura Torres Araujo Chiara Bucciarelli-Ducci

Non-invasive cardiac imaging has an established diagnostic and prognostic role in patients with suspected or known ischemic heart disease (IHD) and the imaging technology has significantly evolved over the years. Cardiovascular magnetic resonance (CMR) has emerged as a robust diagnostic and prognostic imaging modality and it currently represents a valid alternative to other existing and well-validated techniques, but also as a possible first-line strategy.

Major clinical practice guidelines have been increasingly incorporating stress CMR as a clinical test indicated in patients with chest pain, receiving a Class I recommendation first in the 2014 European Society of Cardiology (ESC) guidelines for revascularisation, followed by the 2017 ESC guidelines in the diagnosis and management of ST-elevation myocardial infarction which has been recommending CMR as an alternative test for left ventricular (LV) function when echocardiography is suboptimal, but also for the evaluation of myocardial viability and ischemia. The recently published 2021 American Heart Association (AHA)/American College of Cardiology (ACC) Guidelines also indicate stress CMR with class I recommendation in patients with acute and chronic chest pain and intermediate risk of coronary artery disease (CAD) ( ).

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ABC

Research Letter

Emerging Topics in Heart Failure: New Paradigms in Cardiac Amyloidosis

Marcus Vinicius Simões et al. Silvia Marinho Martins Alves Fabio Fernandes Otávio Rizzi Coelho Filho Sandrigo Mangini

Abstract

Recent evidence suggests cardiac amyloidosis (CA) is a mostly underdiagnosed condition, particularly in the transthyretin-mediated form, and is a frequent cause of heart failure with preserved ejection fraction (HFpEF) in the elderly. New paradigms about CA also involve the development of disease-modifying specific therapies. This article summarizes these new concepts.

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Contemporary Non-Invasive Imaging in Chronic Coronary Syndrome: What Stress Cardiovascular Magnetic Resonance has to Offer

Emerging Topics in Heart Failure: New Paradigms in Cardiac Amyloidosis

Abstract

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