The Roles of CMR and MSCT in Adult Congenital Heart Disease

Kilner, Philip J.; Nicol, Ed; Rubens, Michael B.

doi:10.1007/978-1-84882-421-8_31

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…Cardiovascular computed tomography (CCT) is particularly useful in dissection, pulmonary embolism, and paravalvular abscess in the setting of endocarditis, where it may have advantages over echocardiography and CMR due to being less susceptible to prosthetic valve artifact. It is useful in assessment of coronary artery pathology and collaterals ( 35 ) ( Table 1 ).…”

Section: Methodsmentioning

confidence: 99%

Heart Failure Risk Predictions and Prognostic Factors in Adults With Congenital Heart Diseases

Łęczycki

Banach

Maciejewski

et al. 2022

Front. Cardiovasc. Med.

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In recent decades the number of adults with congenital heart diseases (ACHD) has increased significantly. This entails the need for scrupulous evaluation of the current condition of these patients. The ACHD population is one of the most challenging in contemporary medicine, especially as well-known scales such as the NYHA classification have very limited application. At the moment, there is a lack of universal parameters or scales on the basis of which we can easily capture the moment of deterioration of our ACHD patients' condition. Hence it is crucial to identify factors that are widely available, cheap and easy to use. There are studies showing more and more potential prognostic factors that may be of use in clinical practice: thorough assessment with echocardiography and magnetic resonance imaging (e.g., anatomy, ventricular function, longitudinal strain, shunt lesions, valvular defects, pericardial effusion, and pulmonary hypertension), cardiopulmonary exercise testing (e.g., peak oxygen uptake, ventilatory efficiency, chronotropic incompetence, and saturation) and biomarkers (e.g., N-terminal pro-brain type natriuretic peptide, growth-differentiation factor 15, high-sensitivity troponin T, red cell distribution width, galectin-3, angiopoietin-2, asymmetrical dimethylarginine, and high-sensitivity C-reactive protein). Some of them are very promising, but more research is needed to create a specific panel on the basis of which we will be able to assess patients with specific congenital heart diseases.

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Section: Methodsmentioning

confidence: 99%

Heart Failure Risk Predictions and Prognostic Factors in Adults With Congenital Heart Diseases

Łęczycki

Banach

Maciejewski

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…For ACHD patients, this has made CCT more attractive for specific indications such as assessment, in particular for coronary artery pathology, and detailed assessment of collaterals. 21 CCT is particularly useful in emergency settings including dissection, pulmonary embolism, and paravalvular abscess in the setting of endocarditis, where it may have advantages over echocardiography and CMR due to being less susceptible to prosthetic valve artefact.…”

Section: Cardiovascular Computed Tomographymentioning

confidence: 99%