title: Assessment of cardiovascular impairment in obese patients: Limitations and troubleshooting of available imaging tools.
abstract: The prevalence and severity of obesity have increased over recent decades, reaching worldwide epidemics. Obesity is associated to coronary artery disease and other risk factors, including hypertension, heart failure and atrial fibrillation, which are all increased in the setting of obesity. Several noninvasive cardiac imaging modalities, such as echocardiography, cardiac computed tomography, magnetic resonance and cardiac gated single-photon emission computed tomography, are available in assessing coronary artery disease and myocardial dysfunction. Yet, in patients with excess adiposity the diagnostic accuracy of these techniques may be limited due to some issues. In this review, we analyze challenges and possibilities to find the optimal cardiac imaging approach to obese population.
authors.affiliation: Institute of Biostructure and Bioimaging, National Council of Research, Naples, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Gaudieri
authors.affiliation: Department of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Nappi
authors.affiliation: Institute of Biostructure and Bioimaging, National Council of Research, Naples, Italy; Department of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
authors.forename: W
authors.initials: W
authors.lastname: Acampa
authors.affiliation: Department of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Assante
authors.affiliation: Department of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Zampella
authors.affiliation: Institute of Biostructure and Bioimaging, National Council of Research, Naples, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Magliulo
authors.affiliation: Department of Translational Medical Sciences, University Federico II, Naples, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Petretta
authors.affiliation: Department of Advanced Biomedical Sciences, University Federico II, Naples, Italy. Electronic address: cuocolo@unina.it.
authors.forename: A
authors.initials: A
authors.lastname: Cuocolo
mesh_terms: D050154:Adiposity; D016477:Artifacts; D057791:Cardiac Imaging Techniques / Q000295:instrumentation; D002318:Cardiovascular Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D015897:Comorbidity; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D017079:Exercise Tolerance; D005188:False Negative Reactions; D005189:False Positive Reactions; D006321:Heart / Q000000981:diagnostic imaging; D006801:Humans; D009765:Obesity / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology*; D015995:Prevalence; D019275:Radiopharmaceuticals / Q000493:pharmacokinetics; D012307:Risk Factors; D014018:Tissue Distribution
chemical_list: D019275:Radiopharmaceuticals
keywords: Cardiac computed tomography; Cardiac magnetic resonance; Cardiología nuclear; Coronary heart disease; Enfermedad arterial coronaria; Exceso de adiposidad; Excess adiposity; Nuclear cardiology; Resonancia magnética cardiaca; Tomografía computarizada cardiaca