Myocardial interstitial remodelling in non-ischaemic dilated cardiomyopathy: insights from cardiovascular magnetic resonance

Verfasser / Beitragende:
[Andrea Barison, Chrysanthos Grigoratos, Giancarlo Todiere, Giovanni Aquaro]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/6(2015-11-01), 731-749
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10741-015-9509-4  |2 doi 
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245 0 0 |a Myocardial interstitial remodelling in non-ischaemic dilated cardiomyopathy: insights from cardiovascular magnetic resonance  |h [Elektronische Daten]  |c [Andrea Barison, Chrysanthos Grigoratos, Giancarlo Todiere, Giovanni Aquaro] 
520 3 |a Myocardial remodelling involves not only the myocytes, but also non-myocyte cells and the extracellular matrix, which constitutes around 6% of the normal heart and includes fluid, collagen and glycoproteins. In non-ischaemic dilated cardiomyopathy (DCM), the cardiac interstitium increases as a result of diffuse interstitial (microscopic) fibrosis, post-necrotic replacement (macroscopic) fibrosis or myocardial oedema. The activation of the renin-angiotensin-aldosterone system is a major determinant of fibroblasts activation and collagen deposition, with the transforming growth factor β as the downstream signal mediator. Endomyocardial biopsy still represents the current reference method for interstitial and replacement myocardial fibrosis assessment, but cardiovascular magnetic resonance (CMR) allows in vivo detection of macroscopic fibrosis with post-contrast late enhancement imaging. Moreover, recent pre- and post-contrast T1 mapping techniques provide a quantitative estimation of myocardial interstitial remodelling, with potential diagnostic and prognostic clinical utility. Here, we review the pathophysiological mechanisms of myocardial interstitial remodelling in DCM, its non-invasive characterization with biomarkers and with CMR, as well as the most recent studies about their clinical utility. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Dilated cardiomyopathy  |2 nationallicence 
690 7 |a Fibrosis  |2 nationallicence 
690 7 |a Interstitium  |2 nationallicence 
690 7 |a Remodelling  |2 nationallicence 
690 7 |a Magnetic resonance  |2 nationallicence 
690 7 |a Late enhancement  |2 nationallicence 
690 7 |a T1 mapping  |2 nationallicence 
690 7 |a T2 mapping  |2 nationallicence 
690 7 |a CMR : Cardiovascular magnetic resonance  |2 nationallicence 
690 7 |a DCM : Dilated cardiomyopathy  |2 nationallicence 
690 7 |a ECV : Extracellular volume  |2 nationallicence 
690 7 |a LGE : Late gadolinium enhancement  |2 nationallicence 
690 7 |a LV : Left ventricular  |2 nationallicence 
690 7 |a MMP : Matrix metalloproteinase  |2 nationallicence 
690 7 |a MOLLI : Modified look-locker inversion recovery  |2 nationallicence 
690 7 |a NT-proBNP : N-terminal fragment of the pro-brain natriuretic peptide  |2 nationallicence 
690 7 |a ShMOLLI : Shortened modified look-locker inversion recovery  |2 nationallicence 
690 7 |a TGF-β : Transforming growth factor beta  |2 nationallicence 
690 7 |a TNF-α : Tumour necrosis factor alpha  |2 nationallicence 
700 1 |a Barison  |D Andrea  |u Fondazione Toscana Gabriele Monasterio, Via Moruzzi, 1, 56124, Pisa, Italy  |4 aut 
700 1 |a Grigoratos  |D Chrysanthos  |u Fondazione Toscana Gabriele Monasterio, Via Moruzzi, 1, 56124, Pisa, Italy  |4 aut 
700 1 |a Todiere  |D Giancarlo  |u Fondazione Toscana Gabriele Monasterio, Via Moruzzi, 1, 56124, Pisa, Italy  |4 aut 
700 1 |a Aquaro  |D Giovanni  |u Fondazione Toscana Gabriele Monasterio, Via Moruzzi, 1, 56124, Pisa, Italy  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/6(2015-11-01), 731-749  |x 1382-4147  |q 20:6<731  |1 2015  |2 20  |o 10741 
856 4 0 |u https://doi.org/10.1007/s10741-015-9509-4  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Barison  |D Andrea  |u Fondazione Toscana Gabriele Monasterio, Via Moruzzi, 1, 56124, Pisa, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Grigoratos  |D Chrysanthos  |u Fondazione Toscana Gabriele Monasterio, Via Moruzzi, 1, 56124, Pisa, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Todiere  |D Giancarlo  |u Fondazione Toscana Gabriele Monasterio, Via Moruzzi, 1, 56124, Pisa, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Aquaro  |D Giovanni  |u Fondazione Toscana Gabriele Monasterio, Via Moruzzi, 1, 56124, Pisa, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/6(2015-11-01), 731-749  |x 1382-4147  |q 20:6<731  |1 2015  |2 20  |o 10741