Abstract
This review focuses on the key non-invasive cardiac imaging techniques,
including cardiac CT and MRI, and highlights essential publications
pertinent to clinicians managing ischemic and non-ischemic
cardiomyopathy. Cardiac computed tomography (CT) Provides an anatomical
assessment that offers superior diagnostic accuracy compared to
functional tests. It is a valuable tool for understanding the impact of
non-obstructive coronary artery disease on patient outcomes.
Additionally, cardiac CT is beneficial in defining the morphology of
vulnerable plaque, which closely aligns with IVUS findings. It also
demonstrates safety advantages, including reduced contrast volume and
radiation dose and lower risk of contrast-induced nephropathy when used
in post-CABG besides conventional coronary angiograms. Cardiac MRI
provides invaluable insight into the MI size and microvascular
obstruction, critical for understanding a patient’s prognosis. The
assessment of scar tissue with CMR has become an essential tool for risk
stratification and informs therapeutic decisions regarding the
implantation of ICD.