Cardiovascular magnetic resonance imaging: clinical implications in the evaluation of connective tissue diseases

Sophie Mavrogeni,1 George Markousis-Mavrogenis,1 Loukia Koutsogeorgopoulou,2 Genovefa Kolovou1 1Onassis Cardiac Surgery Center, Athens, Greece; 2Department of Pathophysiology, Laikon Hospital, Athens, Greece Abstract: Cardiovascular magnetic resonance imaging is a recently developed noninvasive, non...

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Autores principales: Mavrogeni S, Markousis-Mavrogenis G, Koutsogeorgopoulou L, Kolovou G
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Lenguaje:EN
Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:dbae610f7d434e489e1ce0cfe265ca782021-12-02T06:50:53ZCardiovascular magnetic resonance imaging: clinical implications in the evaluation of connective tissue diseases1178-7031https://doaj.org/article/dbae610f7d434e489e1ce0cfe265ca782017-05-01T00:00:00Zhttps://www.dovepress.com/cardiovascular-magnetic-resonance-imaging-clinical-implications-in-the-peer-reviewed-article-JIRhttps://doaj.org/toc/1178-7031Sophie Mavrogeni,1 George Markousis-Mavrogenis,1 Loukia Koutsogeorgopoulou,2 Genovefa Kolovou1 1Onassis Cardiac Surgery Center, Athens, Greece; 2Department of Pathophysiology, Laikon Hospital, Athens, Greece Abstract: Cardiovascular magnetic resonance imaging is a recently developed noninvasive, nonradiating, operator-independent technique that has been successfully used for the evaluation of congenital heart disease, valvular and pericardial diseases, iron overload, cardiomyopathies, great and coronary vessel diseases, cardiac inflammation, stress–rest myocardial perfusion, and fibrosis. Rheumatoid arthritis and other spondyloarthropathies, systemic lupus erythematosus, inflammatory myopathies, mixed connective tissue diseases (CTDs), systemic sclerosis, vasculitis, and sarcoidosis are among CTDs with serious cardiovascular involvement; this is due to multiple causative factors such as myopericarditis, micro/macrovascular disease, coronary artery disease, myocardial fibrosis, pulmonary hypertension, and finally heart failure. The complicated pathophysiology and the high cardiovascular morbidity and mortality of CTDs demand a versatile, noninvasive, nonradiative diagnostic tool for early cardiovascular diagnosis, risk stratification, and treatment follow-up. Cardiovascular magnetic resonance imaging can detect early silent cardiovascular lesions, assess disease acuteness, and reliably evaluate the effect of both cardiac and rheumatic medication in the cardiovascular system, due to its capability to perform tissue characterization and its high spatial resolution. However, until now, high cost; lack of interaction between cardiologists, radiologists, and rheumatologists; lack of availability; and lack of experts in the field have limited its wider adoption in the clinical practice. Keywords: connective tissue diseases, cardiovascular magnetic resonance imagingMavrogeni SMarkousis-Mavrogenis GKoutsogeorgopoulou LKolovou GDove Medical Pressarticleconnective tissue diseasescardiovascular magnetic resonance imagingPathologyRB1-214Therapeutics. PharmacologyRM1-950ENJournal of Inflammation Research, Vol Volume 10, Pp 55-61 (2017)
institution DOAJ
collection DOAJ
language EN
topic connective tissue diseases
cardiovascular magnetic resonance imaging
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
spellingShingle connective tissue diseases
cardiovascular magnetic resonance imaging
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
Mavrogeni S
Markousis-Mavrogenis G
Koutsogeorgopoulou L
Kolovou G
Cardiovascular magnetic resonance imaging: clinical implications in the evaluation of connective tissue diseases
description Sophie Mavrogeni,1 George Markousis-Mavrogenis,1 Loukia Koutsogeorgopoulou,2 Genovefa Kolovou1 1Onassis Cardiac Surgery Center, Athens, Greece; 2Department of Pathophysiology, Laikon Hospital, Athens, Greece Abstract: Cardiovascular magnetic resonance imaging is a recently developed noninvasive, nonradiating, operator-independent technique that has been successfully used for the evaluation of congenital heart disease, valvular and pericardial diseases, iron overload, cardiomyopathies, great and coronary vessel diseases, cardiac inflammation, stress–rest myocardial perfusion, and fibrosis. Rheumatoid arthritis and other spondyloarthropathies, systemic lupus erythematosus, inflammatory myopathies, mixed connective tissue diseases (CTDs), systemic sclerosis, vasculitis, and sarcoidosis are among CTDs with serious cardiovascular involvement; this is due to multiple causative factors such as myopericarditis, micro/macrovascular disease, coronary artery disease, myocardial fibrosis, pulmonary hypertension, and finally heart failure. The complicated pathophysiology and the high cardiovascular morbidity and mortality of CTDs demand a versatile, noninvasive, nonradiative diagnostic tool for early cardiovascular diagnosis, risk stratification, and treatment follow-up. Cardiovascular magnetic resonance imaging can detect early silent cardiovascular lesions, assess disease acuteness, and reliably evaluate the effect of both cardiac and rheumatic medication in the cardiovascular system, due to its capability to perform tissue characterization and its high spatial resolution. However, until now, high cost; lack of interaction between cardiologists, radiologists, and rheumatologists; lack of availability; and lack of experts in the field have limited its wider adoption in the clinical practice. Keywords: connective tissue diseases, cardiovascular magnetic resonance imaging
format article
author Mavrogeni S
Markousis-Mavrogenis G
Koutsogeorgopoulou L
Kolovou G
author_facet Mavrogeni S
Markousis-Mavrogenis G
Koutsogeorgopoulou L
Kolovou G
author_sort Mavrogeni S
title Cardiovascular magnetic resonance imaging: clinical implications in the evaluation of connective tissue diseases
title_short Cardiovascular magnetic resonance imaging: clinical implications in the evaluation of connective tissue diseases
title_full Cardiovascular magnetic resonance imaging: clinical implications in the evaluation of connective tissue diseases
title_fullStr Cardiovascular magnetic resonance imaging: clinical implications in the evaluation of connective tissue diseases
title_full_unstemmed Cardiovascular magnetic resonance imaging: clinical implications in the evaluation of connective tissue diseases
title_sort cardiovascular magnetic resonance imaging: clinical implications in the evaluation of connective tissue diseases
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/dbae610f7d434e489e1ce0cfe265ca78
work_keys_str_mv AT mavrogenis cardiovascularmagneticresonanceimagingclinicalimplicationsintheevaluationofconnectivetissuediseases
AT markousismavrogenisg cardiovascularmagneticresonanceimagingclinicalimplicationsintheevaluationofconnectivetissuediseases
AT koutsogeorgopouloul cardiovascularmagneticresonanceimagingclinicalimplicationsintheevaluationofconnectivetissuediseases
AT kolovoug cardiovascularmagneticresonanceimagingclinicalimplicationsintheevaluationofconnectivetissuediseases
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