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In patients with heart failure (HF) and reduced ejection fraction (EF), non-invasive cardiac imaging provides diagnostic, prognostic, and therapeutic information and assists decision-making. The aim of this consensus paper is to provide an overview of the clinical applications of non-invasive cardiac imaging in the management of HF patients with systolic dysfunction, mostly focusing on impact on clinical decision-making ( Figure 1 ). Figure 1 Use of cardiac imaging for the management of patients with chronic systolic heart failure. HF, heart failure; BNP, brain natriuretic peptide; CMR, cardiac magnetic resonance; EF, ejection fraction; CAD, coronary artery disease; CCTA, cardiac computed tomographic angiography; SPECT, single photon emission computed tomography; PET, positron emission tomography; ICD, implantable cardioverter defibrillator; CRT, cardiac resynchronization therapy; OMT, optimal medical therapy. *might precede stress imaging in patients with angina.In patients with suspected HF, an electrocardiogram, chest X-ray, and brain natriuretic peptide (BNP or NT-proBNP) assay should be performed before non-invasive cardiac imaging,1 but in particular clinical situations with high likelihood of the disease, i.e. symptoms of HF in patients with previous myocardial infarction, cardiac imaging might be directly performed without previous BNP assay.Left ventricular (LV) systolic dysfunction, conventionally identified when EF at rest is 60 mm or 32 mm/m2 with LV volume >97 mL/m2) and end-systolic diameter and …

european heart journal

Non-invasive cardiac imaging evaluation of patients with chronic systolic heart failure: a report from the European Association of Cardiovascular Imaging (EACVI)