The evolving role of cardiac magnetic resonance in primary mitral regurgitation: ready for prime time?

Research output: Contribution to journalArticlepeer-review

Standard

The evolving role of cardiac magnetic resonance in primary mitral regurgitation : ready for prime time? / Liu, Boyang; Edwards, Nicola C; Pennell, Dudley; Steeds, Richard P.

In: European Heart Journal Cardiovascular Imaging, Vol. 20, No. 2, 01.02.2019, p. 123-130.

Research output: Contribution to journalArticlepeer-review

Harvard

APA

Vancouver

Author

Bibtex

@article{516043c95ef24aee9923e8e36b2d0254,
title = "The evolving role of cardiac magnetic resonance in primary mitral regurgitation: ready for prime time?",
abstract = "A fifth of patients with primary degenerative mitral regurgitation continue to present with de novo ventricular dysfunction following surgery and higher rates of heart failure, morbidity, and mortality. This raises questions as to why the left ventricle (LV) might fail to recover and has led to support for better LV characterization; cardiac magnetic resonance (CMR) may play a role in this regard, pending further research and outcome data. CMR has widely acknowledged advantages, particularly in repeatability of measurements of volume and ejection fraction, yet recent guidelines relegate its use to cases where there is discordant information or poor-quality imaging from echocardiography because of the lack of data regarding the CMR-based ejection fraction threshold for surgery and CMR-based outcome data. This article reviews the current evidence regarding the role of CMR in an integrated surveillance and surgical timing programme.",
keywords = "cardiac magnetic resonance, echocardiography, primary mitral regurgitation, ventricular remodelling",
author = "Boyang Liu and Edwards, {Nicola C} and Dudley Pennell and Steeds, {Richard P}",
year = "2019",
month = feb,
day = "1",
doi = "10.1093/ehjci/jey147",
language = "English",
volume = "20",
pages = "123--130",
journal = "European Heart Journal Cardiovascular Imaging",
issn = "2047-2404",
publisher = "Oxford University Press",
number = "2",

}

RIS

TY - JOUR

T1 - The evolving role of cardiac magnetic resonance in primary mitral regurgitation

T2 - ready for prime time?

AU - Liu, Boyang

AU - Edwards, Nicola C

AU - Pennell, Dudley

AU - Steeds, Richard P

PY - 2019/2/1

Y1 - 2019/2/1

N2 - A fifth of patients with primary degenerative mitral regurgitation continue to present with de novo ventricular dysfunction following surgery and higher rates of heart failure, morbidity, and mortality. This raises questions as to why the left ventricle (LV) might fail to recover and has led to support for better LV characterization; cardiac magnetic resonance (CMR) may play a role in this regard, pending further research and outcome data. CMR has widely acknowledged advantages, particularly in repeatability of measurements of volume and ejection fraction, yet recent guidelines relegate its use to cases where there is discordant information or poor-quality imaging from echocardiography because of the lack of data regarding the CMR-based ejection fraction threshold for surgery and CMR-based outcome data. This article reviews the current evidence regarding the role of CMR in an integrated surveillance and surgical timing programme.

AB - A fifth of patients with primary degenerative mitral regurgitation continue to present with de novo ventricular dysfunction following surgery and higher rates of heart failure, morbidity, and mortality. This raises questions as to why the left ventricle (LV) might fail to recover and has led to support for better LV characterization; cardiac magnetic resonance (CMR) may play a role in this regard, pending further research and outcome data. CMR has widely acknowledged advantages, particularly in repeatability of measurements of volume and ejection fraction, yet recent guidelines relegate its use to cases where there is discordant information or poor-quality imaging from echocardiography because of the lack of data regarding the CMR-based ejection fraction threshold for surgery and CMR-based outcome data. This article reviews the current evidence regarding the role of CMR in an integrated surveillance and surgical timing programme.

KW - cardiac magnetic resonance

KW - echocardiography

KW - primary mitral regurgitation

KW - ventricular remodelling

UR - http://www.scopus.com/inward/record.url?scp=85060616521&partnerID=8YFLogxK

U2 - 10.1093/ehjci/jey147

DO - 10.1093/ehjci/jey147

M3 - Article

C2 - 30364971

VL - 20

SP - 123

EP - 130

JO - European Heart Journal Cardiovascular Imaging

JF - European Heart Journal Cardiovascular Imaging

SN - 2047-2404

IS - 2

ER -