The role of echocardiography versus cardiac magnetic resonance in the cardiovascular diseases assessment Review article

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Natalia Wiligórska
Diana Wiligórska
Olga Możeńska
Jacek Bil
Dariusz A. Kosior

Abstract

Both echocardiography and cardiac magnetic resonance (CMR) are non-invasive modalities with minimal risk for patients, using no ionizing radiation. Echocardiography surpasses other imaging modalities in its mobility and availability to obtain real-time visualization. When using CMR, there are fewer limitations caused by body habitus. Both methods allow for assessment of cardiovascular anatomy, structure and function of the heart muscle, but CMR is able to characterize myocardial tissue composition and define the course and orientation of coronary arteries.


Performing echocardiography during acute chest pain can be useful in confirmation of myocardial infarction. Echocardiography is first-line method for diagnosing the majority of cardiomyopathies. However, CMR is especially useful in confirmation of arrythmogenic right ventricle cardiomyopathy because of lack of standardized echocardiographic criteria. Also myocarditis is better visualized with the use of CMR. Moreover, CMR is considered a gold standard technique for characterization of cardiac mass. Nevertheless, echocardiography plays a major role in confirming the diagnosis and assessing the severity of valvular heart disease, congenital heart disease and majority of pericardial diseases.


In most cases, echocardiography is the method of choice while confirming the diagnosis because of its availability. However, in some situations, CMR is a more valuable modality. We presented advantages of both methods in specific clinical situations.

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Wiligórska , N., Wiligórska , D., Możeńska , O., Bil , J., & Kosior , D. A. (2016). The role of echocardiography versus cardiac magnetic resonance in the cardiovascular diseases assessment. Cardiology in Practice, 10(1), 29-51. Retrieved from https://journalsmededu.pl/index.php/kwp/article/view/1294
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