Multi-modality cardiac imaging in the management of diabetic heart disease
Diabetic heart disease is a major healthcare problem. Patients with diabetes show an excess of death from cardiovascular causes, twice as high as the general population and those with diabetes type 1 and longer duration of the disease present with more severe cardiovascular complications. Premature...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1043711/full |
| _version_ | 1811334586930561024 |
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| author | Malgorzata Wamil Malgorzata Wamil Malgorzata Wamil Marcos Goncalves Alexander Rutherford Alessandra Borlotti Patricia Ann Pellikka |
| author_facet | Malgorzata Wamil Malgorzata Wamil Malgorzata Wamil Marcos Goncalves Alexander Rutherford Alessandra Borlotti Patricia Ann Pellikka |
| author_sort | Malgorzata Wamil |
| collection | DOAJ |
| description | Diabetic heart disease is a major healthcare problem. Patients with diabetes show an excess of death from cardiovascular causes, twice as high as the general population and those with diabetes type 1 and longer duration of the disease present with more severe cardiovascular complications. Premature coronary artery disease and heart failure are leading causes of morbidity and reduced life expectancy. Multimodality cardiac imaging, including echocardiography, cardiac computed tomography, nuclear medicine, and cardiac magnetic resonance play crucial role in the diagnosis and management of different pathologies included in the definition of diabetic heart disease. In this review we summarise the utility of multi-modality cardiac imaging in characterising ischaemic and non-ischaemic causes of diabetic heart disease and give an overview of the current clinical practice. We also describe emerging imaging techniques enabling early detection of coronary artery inflammation and the non-invasive characterisation of the atherosclerotic plaque disease. Furthermore, we discuss the role of MRI-derived techniques in studying altered myocardial metabolism linking diabetes with the development of diabetic cardiomyopathy. Finally, we discuss recent data regarding the use of artificial intelligence applied to large imaging databases and how those efforts can be utilised in the future in screening of patients with diabetes for early signs of disease. |
| first_indexed | 2024-04-13T17:11:05Z |
| format | Article |
| id | doaj.art-c85a85fa0ead4081ab069d9fe0960539 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-13T17:11:05Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-c85a85fa0ead4081ab069d9fe09605392022-12-22T02:38:17ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-11-01910.3389/fcvm.2022.10437111043711Multi-modality cardiac imaging in the management of diabetic heart diseaseMalgorzata Wamil0Malgorzata Wamil1Malgorzata Wamil2Marcos Goncalves3Alexander Rutherford4Alessandra Borlotti5Patricia Ann Pellikka6Mayo Clinic Healthcare, London, United KingdomDeep Medicine, Oxford Martin School, Medical Science Division, Nuffield Department of Women’s and Reproductive Health, University of Oxford, Oxford, United KingdomGreat Western Hospital NHS Trust, Swindon, United KingdomMayo Clinic Healthcare, London, United KingdomGreat Western Hospital NHS Trust, Swindon, United KingdomPerspectum Diagnostics, Oxford, United KingdomDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United StatesDiabetic heart disease is a major healthcare problem. Patients with diabetes show an excess of death from cardiovascular causes, twice as high as the general population and those with diabetes type 1 and longer duration of the disease present with more severe cardiovascular complications. Premature coronary artery disease and heart failure are leading causes of morbidity and reduced life expectancy. Multimodality cardiac imaging, including echocardiography, cardiac computed tomography, nuclear medicine, and cardiac magnetic resonance play crucial role in the diagnosis and management of different pathologies included in the definition of diabetic heart disease. In this review we summarise the utility of multi-modality cardiac imaging in characterising ischaemic and non-ischaemic causes of diabetic heart disease and give an overview of the current clinical practice. We also describe emerging imaging techniques enabling early detection of coronary artery inflammation and the non-invasive characterisation of the atherosclerotic plaque disease. Furthermore, we discuss the role of MRI-derived techniques in studying altered myocardial metabolism linking diabetes with the development of diabetic cardiomyopathy. Finally, we discuss recent data regarding the use of artificial intelligence applied to large imaging databases and how those efforts can be utilised in the future in screening of patients with diabetes for early signs of disease.https://www.frontiersin.org/articles/10.3389/fcvm.2022.1043711/fulldiabetic heart diseasediabetic cardiomyopathyheart failure reduced ejection fraction (HFrEF)heart failure preserved ejection fraction (HFpEF)echocardiographyCT coronary angiography |
| spellingShingle | Malgorzata Wamil Malgorzata Wamil Malgorzata Wamil Marcos Goncalves Alexander Rutherford Alessandra Borlotti Patricia Ann Pellikka Multi-modality cardiac imaging in the management of diabetic heart disease Frontiers in Cardiovascular Medicine diabetic heart disease diabetic cardiomyopathy heart failure reduced ejection fraction (HFrEF) heart failure preserved ejection fraction (HFpEF) echocardiography CT coronary angiography |
| title | Multi-modality cardiac imaging in the management of diabetic heart disease |
| title_full | Multi-modality cardiac imaging in the management of diabetic heart disease |
| title_fullStr | Multi-modality cardiac imaging in the management of diabetic heart disease |
| title_full_unstemmed | Multi-modality cardiac imaging in the management of diabetic heart disease |
| title_short | Multi-modality cardiac imaging in the management of diabetic heart disease |
| title_sort | multi modality cardiac imaging in the management of diabetic heart disease |
| topic | diabetic heart disease diabetic cardiomyopathy heart failure reduced ejection fraction (HFrEF) heart failure preserved ejection fraction (HFpEF) echocardiography CT coronary angiography |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1043711/full |
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