#3423 DIAGNOSTIC SIGNIFICANCE MAGNETIC RESONANCE IMAGING IN CHRONIC HEART FAILURE OF VARIOUS GENESIS

Abstract Background and Aims Based on a comparative assessment of radiological, ultrasound, clinical and laboratory studies, to determine the diagnostic significance of cardio-MRI. Method We analyzed echocardiographic and magnetic resonance imaging of the heart in 40 patients who were examined and treated in the cardiology departments of the Republican Medical Specialized Scientific and Practical Center for Therapy and Medical Rehabilitation. The information content of the use of instrumental research methods in patients with chronic heart failure was evaluated. Information on demographic characteristics, including age, gender, education, occupation, was collected from doctors visits using a standard questionnaire. Results The average age of patients was 57 years. 40% of the surveyed were made up of men. When studying risk factors for the disease, 49% of all patients had arterial hypertension, 18% had type 2 diabetes mellitus, 21% of patients were active smokers, and 11% had a family history of risk of cardiovascular disease. 36% of patients had a history of myocardial infarction, percutaneous coronary interventions. The mean LV EF was 42% and the mean right ventricular EF (RVEF) was 48%. In patients with CHF of ischemic origin, in the vast majority of cases, the results of echocardiographic and MRI examinations of the heart were comparable. The conducted MRI of the heart had an additional informative value in case of doubtful ECG and EchoCG data, as well as in differential diagnosis. The results of MRI were more accurate in determining the etiology of myocardial hypertrophy, in particular hypertrophic cardiomyopathy. Conclusion The diagnostic value of cardio-MRI showed great diagnostic value in the diagnosis of ischemic damage and non-coronary diseases of the myocardium.

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