Abstract
AbstractInflammatory heart disease (IHD) includes a spectrum of conditions affecting cardiac structures and vessels, caused mainly by immune response to viruses, autoimmune disease, and toxic agents. Clinical manifestations, such as acute chest pain, often overlap with ischemic heart disease and other heart conditions. IHD diagnosis by imaging can significantly alter patient management and prognosis. The purpose of this review is to discuss the role of cardiac magnetic resonance (CMR) in the assessment of the most common IHDs highlighting recommended acquisition protocols and main imaging features of viral myocarditis, pericarditis, endocarditis, device infections, involvement in autoimmune and rheumatic disorders, cardiotoxicity, endomyocardial fibrosis, hypereosinophilic syndrome, and vasculitis. Furthermore, the review discusses future perspectives of CMR, with emphasis on the potential of novel MR-based techniques to improve diagnostic accuracy and understanding of IHDs pathways. Overall, CMR emerges as a powerful modality offering comprehensive evaluation of myocardial inflammation, advancing diagnosis and management of IHD.
Publisher
Springer Science and Business Media LLC