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Table 8 Recommendations for CMR in the guidelines the diagnosis and treatment of acute and chronic heart failure

From: Cardiovascular magnetic resonance in the guidelines of the European Society of Cardiology: a comprehensive summary and update

Recommendation

Class

Level

Recommendations for specialized diagnostic tests for selected patients with chronic heart failure to detect reversible/treatable causes of heart failure

CMR is recommended for the assessment of myocardial structure and function in those with poor echocardiogram acoustic windows

I

C

CMR is recommended for the characterization of myocardial tissue in suspected infiltrative disease, Fabry disease, inflammatory disease (myocarditis), left ventricular non-compaction, amyloid, sarcoidosis, iron overload / haemochromatosis

I

C

CMR with LGE should be considered in dilated cardiomyopathy (DCM) to distinguish between ischemic and non-ischemic myocardial damage

IIa

C

Non-invasive stress imaging (CMR, stress echocardiography, SPECT, PET) may be considered for the assessment of myocardial ischemia and viability in patients with coronary artery disease (CAD) who are considered suitable for coronary revascularization

IIb

B

  1. CMR  cardiovascular magnetic resonance, LGE  late Gadolinium enhancement, SPECT  single photon emission computed tomography, PET  positron emission tomography