Measuring Myocardial Energetics with Cardiovascular Magnetic Resonance Spectroscopy

Research output: Contribution to journalReview articlepeer-review


The heart has the highest energy demands per gram of any organ in the body and energy metabolism fuels normal contractile function. Metabolic inflexibility and impairment of myocardial energetics occur with several common cardiac diseases, including ischemia and heart failure. This review explores several decades of innovation in cardiac magnetic resonance spectroscopy modalities and their use to noninvasively identify and quantify metabolic derangements in the normal, failing, and diseased heart. The implications of this noninvasive modality for predicting significant clinical outcomes and guiding future investigation and therapies to improve patient care are discussed.

Original languageEnglish (US)
Pages (from-to)149-156
Number of pages8
JournalHeart Failure Clinics
Issue number1
StatePublished - Jan 2021
Externally publishedYes


  • Cardiac magnetic resonance
  • Cardiomyopathies
  • Energetics
  • Heart failure
  • Metabolism
  • Spectroscopy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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