TY - JOUR
T1 - Role of Cardiac Magnetic Resonance Imaging in Myocardial Infarction
AU - Pontone, Gianluca
AU - Carità, Patrizia
AU - Rabbat, Mark G.
AU - Guglielmo, Marco
AU - Baggiano, Andrea
AU - Muscogiuri, Giuseppe
AU - Guaricci, Andrea I.
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Purpose of Review: The purpose of the present paper is to analytically review the diagnostic and prognostic role of CMR in ST-segment elevation myocardial infarction (STEMI) survivors. Percutaneous coronary intervention (PCI) is the treatment of choice in patients STEMI. However, risk of future events remains substantial. Assessment of the extent of myocardial infarction (MI), cardiac function and ventricular remodelling has become the focus of recent studies. Electrocardiography, angiography and echocardiography parameters, as well as risk scores, lack sensitivity and reproducibility in predicting future cardiovascular events. A major advantage of cardiac magnetic resonance imaging (CMR) is that it provides myocardial tissue characterization. Recent Findings: CMR is able to quantify both reversible and irreversible myocardial injury and correlates with future events. Summary: This review will illustrate how microvascular function indices (myocardial salvage index, presence and amount of microvascular obstruction and intramyocardial haemorrhage) detectable by CMR add prognostic information and could impact on future strategies to improve outcomes in revascularized patients.
AB - Purpose of Review: The purpose of the present paper is to analytically review the diagnostic and prognostic role of CMR in ST-segment elevation myocardial infarction (STEMI) survivors. Percutaneous coronary intervention (PCI) is the treatment of choice in patients STEMI. However, risk of future events remains substantial. Assessment of the extent of myocardial infarction (MI), cardiac function and ventricular remodelling has become the focus of recent studies. Electrocardiography, angiography and echocardiography parameters, as well as risk scores, lack sensitivity and reproducibility in predicting future cardiovascular events. A major advantage of cardiac magnetic resonance imaging (CMR) is that it provides myocardial tissue characterization. Recent Findings: CMR is able to quantify both reversible and irreversible myocardial injury and correlates with future events. Summary: This review will illustrate how microvascular function indices (myocardial salvage index, presence and amount of microvascular obstruction and intramyocardial haemorrhage) detectable by CMR add prognostic information and could impact on future strategies to improve outcomes in revascularized patients.
KW - Cardiac magnetic resonance
KW - Diagnosis
KW - Prognosis
KW - STEMI
KW - Tissue characterization
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U2 - 10.1007/s11886-017-0907-1
DO - 10.1007/s11886-017-0907-1
M3 - Review article
C2 - 28856546
AN - SCOPUS:85028741899
VL - 19
JO - Current Cardiology Reports
JF - Current Cardiology Reports
SN - 1523-3782
IS - 10
M1 - 101
ER -