Abstract
La risonanza magnetica è un utile strumento di indagine in medicina cardiovascolare e offre l’opportunità di associare un’elevata accuratezza diagnostica alla corretta stratificazione prognostica dei pazienti. Nella cardiologia dello sport trova attualmente largo impiego, sia grazie ai notevoli progressi tecnologici sia per la necessità sempre più stringente di identificare soggetti apparentemente sani ma portatori di cardiopatie ad elevato rischio di vita durante l’esercizio fisico. Tramite determinate sequenze di analisi è possibile studiare la morfologia e la funzione globale e regionale del cuore, identificare processi infiammatori acuti e cronici, aree di edema e di necrosi miocardica. Inoltre, la possibilità di effettuare una caratterizzazione tissutale del cuore permette di formulare, in modo non invasivo, una diagnosi certa di particolari miocardiopatie. La risonanza magnetica cardiaca può essere ripetuta nel tempo per verificare la risposta a specifiche terapie o monitorare l’andamento di determinati processi patologici: i costi relativi alla gestione delle apparecchiature vengono così controbilanciati dall’enorme potenzialità e beneficio nel management clinico dei pazienti.
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Bibliografia
Pennell DJ, Sechtem UP, Higgins CB et al Society for Cardiovascular Magnetic Resonance; Working Group on Cardiovascular Magnetic Resonance of the European Society of Cardiology (2004) Clinical indications for cardiovascular magnetic resonance (CMR): Consensus Panel report, Eur Heart J 25:1940–1965
Lombardi M, Bartolozzi C (2004) Risonanza magnetica del cuore e dei vasi. Springer, Milano
Mannin WJ, Pennell DJ (2010) Cardiovascular magnetic resonance. Saunders, Elsevier, Philadelphia
La Gerche A, Taylor AJ, Prior DL (2009) Athlete’s heart: the potential for multimodality imaging to address the critical remaining questions. JACC Cardiovasc Imaging 2:350–363
Scharhag J, Schneider G, Urhausen A et al (2002) Athlete’s heart: right and left ventricular mass and function in male endurance athletes and untrained individuals determined by magnetic resonance imaging. J Am Coll Cardiol 40:1856–1863
Pelliccia A, Maron BJ, De Luca R et al (2002) Remodeling of left ventricular hypertrophy in elite athletes after long-term deconditioning. Circulation 105:944–949
Wu KC, Weiss RG, Thiemann DR et al (2008) Late gadolinium enhancement by cardiovascular magnetic resonance heralds an adverse prognosis in nonischemic cardiomyopathy. J Am Coll Cardiol 51:2414–2421
Petersen SE, Selvanayagam JB, Francis JM et al (2005) Differentiation of athlete’s heart from pathological forms of cardiac hypertrophy by means of geometric indices derived from cardiovascular magnetic resonance. J Cardiovasc Magn Reson 7:551–558
Sachdev V, Shizukuda Y, Brenneman CL et al (2005) Left atrial volumetric remodeling is predictive of functional capacity in nonobstructive hypertrophic cardiomyopathy. Am Heart J 149:730–736
Assomull RG, Lyne JC, Keenan N et al (2007) The role of cardiovascular magnetic resonance in patients presenting with chest pain, raised troponin, and unobstructed coronary arteries. Eur Heart J 28:1242–1249. Epub 2007 May 3
Assomull RG, Prasad SK, Lyne J et al (2006) Cardiovascular magnetic resonance, fibrosis, and prognosis in dilated cardiomyopathy. J Am Coll Cardiol 48:1977–1985. Epub 2006 Oct 31
McKenna WJ, Thiene G, Nava A et al (1994) Diagnosis of arrhythmogenic right ventricular dysplasia/cardiomyopathy. Task Force of the Working Group Myocardial and Pericardial Disease of the European Society of Cardiology and of the Scientific Council on Cardiomyopathies of the International Society and Federation of Cardiology. Br Heart J 71:215–218
Friedrich MG, Sechtem U, Schulz-Menger J et al (2009) International Consensus Group on Cardiovascular Magnetic Resonance in Myocarditis. Cardiovascular magnetic resonance in myocarditis: A JACC White Paper. J Am Coll Cardiol 53:1475–1487
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Galiuto, L., Locorotondo, G. (2011). La RM cardiaca. In: Cardiologia dello Sport. Springer, Milano. https://doi.org/10.1007/978-88-470-2352-9_6
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DOI: https://doi.org/10.1007/978-88-470-2352-9_6
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