Value of Advanced Cardiac CTA in Clinical Assessment of Hypertrophic Cardiomyopathy: A Literature Review and Practical Implications

IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Rabih Touma, Anisha R. Pareddy, Aiden Abidov
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引用次数: 0

Abstract

Hypertrophic cardiomyopathy (HCM) is a common inherited cardiac anomaly with a potentially unfavorable clinical outcome. The essential role of multimodality imaging in HCM is well recognized by major professional cardiac imaging societies and has been incorporated into the HCM clinical practice guidelines. Appropriate utilization of cardiac imaging tools is cardinal for accurate diagnosis and appropriate management for HCM patients to mitigate their lifelong risk of adverse events. Echocardiography is the imaging modality of choice for clinical diagnosis of HCM. Cardiac magnetic resonance (CMR) and coronary computed tomography angiogram (CCTA) offer complementary practical information for an inclusive evaluation in such patients. CCTA provides a thorough analysis of the cardiac anatomy and function that is paramount in HCM clinical decision-making. This review summarizes the utility of CCTA in the clinical assessment of patients with HCM. It outlines the multi-role of CCTA in HCM, including the quantification of cardiac parameters, myocardial tissue characterization, left ventricular (LV) functional analysis, the definition of cardiac and coronary arteries (CA) anatomy, and the provision of a roadmap for septal reduction therapies (SRT), mitral valve (MV) intervention, and atrial fibrillation (AF) ablation.

晚期心脏CTA在肥厚性心肌病临床评估中的价值:文献综述及实际意义
肥厚性心肌病(HCM)是一种常见的遗传性心脏异常,具有潜在的不利临床结果。多模态成像在HCM中的重要作用得到了主要专业心脏成像学会的认可,并已被纳入HCM临床实践指南。适当使用心脏成像工具是HCM患者准确诊断和适当管理的基础,以减轻其终生不良事件的风险。超声心动图是临床诊断HCM的首选成像方式。心脏磁共振(CMR)和冠状动脉ct血管造影(CCTA)为这类患者的全面评估提供了补充的实用信息。CCTA提供了心脏解剖和功能的全面分析,这在HCM临床决策中至关重要。本文综述了CCTA在HCM患者临床评估中的应用。它概述了CCTA在HCM中的多重作用,包括心脏参数的量化、心肌组织特征、左心室(LV)功能分析、心脏和冠状动脉(CA)解剖的定义,以及为室间隔缩小治疗(SRT)、二尖瓣(MV)干预和房颤(AF)消融提供路线图。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
6.70%
发文量
211
审稿时长
3-6 weeks
期刊介绍: Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques is the official publication of the International Society of Cardiovascular Ultrasound. Widely recognized for its comprehensive peer-reviewed articles, case studies, original research, and reviews by international authors. Echocardiography keeps its readership of echocardiographers, ultrasound specialists, and cardiologists well informed of the latest developments in the field.
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