Heart failure & cardiomyopathiesGuideline or statement

Multimodality Imaging in Advanced Heart Failure. A Clinical Consensus Statement of the Heart Failure Association of the ESC. Part 1: Multimodality Imaging for the Evaluation of Patients with Advanced Heart Failure

Eur J Heart FailPublished

  • Clinical consensus statement

Recommendations

As issued by the authors

  1. Transthoracic echocardiography remains the cornerstone for initial diagnosis and monitoring (cardiac volumes, function, valvular integrity, congestion status)

  2. Transoesophageal echocardiography offers detailed evaluation of valve pathology, essential for surgical or transcatheter planning

  3. CMR provides comprehensive assessment of biventricular size and function, tissue characterization and flow dynamics, particularly useful for diagnosing specific heart failure (HF) aetiologies

  4. CT offers insights into pulmonary artery diameter, RV volume and valvular anatomy, crucial for guiding percutaneous procedures

  5. Nuclear imaging allows assessing viability and diagnosing non-ischaemic HF conditions, guiding revascularization decisions

Original publication

Multimodality Imaging in Advanced Heart Failure. A Clinical Consensus Statement of the Heart Failure Association of the ESC. Part 1: Multimodality Imaging for the Evaluation of Patients with Advanced Heart Failure. Eur J Heart Fail. Published 14 October 2025. doi:10.1002/ejhf.3762

Summarised from the published abstract; every number is checked against it