Multiparametric Mapping via Cardiovascular Magnetic Resonance in the Risk Stratification of Ventricular Arrhythmias and Sudden Cardiac Death

Author:

Lo Monaco Maria1ORCID,Stankowski Kamil23ORCID,Figliozzi Stefano3,Nicoli Flavia1,Scialò Vincenzo23,Gad Alessandro1,Lisi Costanza2,Marchini Federico14ORCID,Dellino Carlo Maria3,Mollace Rocco1,Catapano Federica23,Stefanini Giulio Giuseppe23ORCID,Monti Lorenzo2ORCID,Condorelli Gianluigi23,Bertella Erika1,Francone Marco23

Affiliation:

1. Humanitas Gavazzeni, 24125 Bergamo, Italy

2. Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, 4, 20090 Pieve Emanuele, Italy

3. Humanitas Research Hospital IRCCS, Via Alessandro Manzoni, 56, 20089 Rozzano, Italy

4. Centro Cardiologico Universitario, Azienda Ospedaliero-Universitaria Arcispedale S. Anna, 44124 Ferrara, Italy

Abstract

Risk stratification for malignant ventricular arrhythmias and sudden cardiac death is a daunting task for physicians in daily practice. Multiparametric mapping sequences obtained via cardiovascular magnetic resonance imaging can improve the risk stratification for malignant ventricular arrhythmias by unveiling the presence of pathophysiological pro-arrhythmogenic processes. However, their employment in clinical practice is still restricted. The present review explores the current evidence supporting the association between mapping abnormalities and the risk of ventricular arrhythmias in several cardiovascular diseases. The key message is that further clinical studies are needed to test the additional value of mapping techniques beyond conventional cardiovascular magnetic resonance imaging for selecting patients eligible for an implantable cardioverter defibrillator.

Publisher

MDPI AG

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