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Comprehensive Assessment of Heart Failure with Preserved Ejection Fraction Using Cardiac MRI
(Elsevier Inc., 2021) Vega-Adauy, Julian; Tok, Özge Özden; Çelik, Ahmet; Barutcu, Ahmet; Vannan, Mani A.
Heart failure with preserved ejection fraction (HFpEF) burden is increasing. Its diagnostic process is challenging and imprecise due to absence of a single diagnostic marker, and the multiparametric echocardiography evaluation needed. Left ventricular (LV) ejection fraction (LVEF) is a limited marker of LV function; thus, allocating HF phenotypes based on LVEF can be misleading. HFpEF encompasses a broad spectrum of causes, and its diagnostic criteria give a central role to echocardiography, a first-line technique with inherent limitations related to ultrasound capabilities. Conversely, cardiac magnetic resonance provides superior anatomic and functional assessment, enabling tissue characterization, offering unprecedented diagnostic precision.