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Non-invasive Rapid Cardiac Magnetic Resonance for the Assessment of Cardiomyopathies in Low-Middle Income Countries

Menacho Medina, K; Seraphim, A; Katekaru, D; Abdel-Gadir, A; Han, Y; Westwood, M; Walker, JM; ... Herrey, AS; + view all (2021) Non-invasive Rapid Cardiac Magnetic Resonance for the Assessment of Cardiomyopathies in Low-Middle Income Countries. Expert Review of Cardiovascular Therapy 10.1080/14779072.2021.1915130. (In press).

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Abstract

INTRODUCTION: Cardiac Magnetic Resonance (CMR) is a crucial diagnostic imaging test that redefines diagnosis and enables targeted therapies, but the access to CMR is limited in low-middle Income Countries (LMICs) even though cardiovascular disease is an emergent primary cause of mortality in LMICs. New abbreviated CMR protocols can be less expensive, faster, whilst maintaining accuracy, potentially leading to a higher utilization in LMICs. AREAS COVERED: This article will review cardiovascular disease in LMICs and the current role of CMR in cardiac diagnosis and enable targeted therapy, discussing the main obstacles to prevent the adoption of CMR in LMICs. We will then review the potential utility of abbreviated, cost-effective CMR protocols to improve cardiac diagnosis and care, the clinical indications of the exam, current evidence and future directions. EXPERT OPINION: Rapid CMR protocols, provided that they are utilized in potentially high yield cases, could reduce cost and increase effectiveness. The adoption of these protocols, their integration into care pathways, and prioritizing key treatable diagnoses can potentially improve patient care. Several LMIC countries are now pioneering these approaches and the application of rapid CMR protocols appears to have a bright future if delivered effectively.

Type: Article
Title: Non-invasive Rapid Cardiac Magnetic Resonance for the Assessment of Cardiomyopathies in Low-Middle Income Countries
Location: England
DOI: 10.1080/14779072.2021.1915130
Publisher version: https://doi.org/10.1080/14779072.2021.1915130
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions
Keywords: Cardiac MRI, Cardiomyopathy, Low-Middle Income Countries, abbreviated protocols
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Clinical Science
URI: https://discovery.ucl.ac.uk/id/eprint/10126824
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