MRI staging of haemodynamic congestion and clinical outcomes - Summary - MDSpire

MRI staging of haemodynamic congestion and clinical outcomes

  • By

  • Cesare Mantini

  • Anna Sorella

  • Daniele Falco

  • Darien Calvo Garcia

  • Daniele Petrucci

  • Mauro Gianni Perrucci

  • Sabina Gallina

  • Massimo Caulo

  • Luca Saba

  • Alberto Clemente

  • Mohammed Yunus Khanji

  • Giovanni Donato Aquaro

  • Pankaj Garg

  • Fabrizio Ricci

  • June 10, 2026

  • 0 min

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Objective:

To examine the association of MRI-derived wedge pressure and pulmonary transit measures with myocardial fibrosis and clinical outcomes in patients with heart failure, specifically focusing on how these measures correlate with patient prognosis.

Approach:
    Key Findings:
    • MRI-derived indices correlate significantly with myocardial fibrosis and clinical outcomes, indicating their potential utility in risk stratification.
    • The MRI-based model for estimating PAWP demonstrates superior accuracy compared to traditional echocardiography.
    • Metrics of pulmonary transit time and blood volume provide valuable prognostic information for heart failure patients.
    Interpretation:

    MRI offers a non-invasive alternative to assess haemodynamic congestion and its implications in heart failure patients.

    Limitations:
    • The single-centre nature of the study may limit the generalizability of the findings to broader populations.
    • Exclusion of patients with certain arrhythmias may introduce bias and affect the applicability of results to the general heart failure population.
    Conclusion:

    MRI can effectively assess haemodynamic congestion and provide prognostic information in heart failure.

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