Comparative Analysis of Cardiac Magnetic Resonance Viability Indexes to Predict Functional Recovery After Successful Percutaneous Coronary Intervention in Acute Myocardial Infarction

Gerbaud, Édouard; Faury, A.; Coste, Pierre; Erickson, Matthew; Corneloup, O.; Santos, Pierre Dos; Durrieu-Jaïs, C; Laurent, François; Montaudon, Michel

doi:10.1016/j.amjcard.2009.10.038

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…Contractile response to low-dose dobutamine (10 μg/kg/min) was the best individual predictive factor of segmental recovery with a probability of segmental recovery of 0.84. When other myocardial viability indexes such as MVO and transmurality of enhancement were added, the probability increased to 0.97 [72]. The excellent predictive probability reinforces CMR as a robust method for evaluating myocardial viability after acute myocardial infarction as the combination of these viability indexes can be completed in a single examination.…”

Section: Assessment Of Myocardial Viabilitymentioning

confidence: 56%

The role of cardiac magnetic resonance imaging following acute myocardial infarction

et al. 2012

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Section: Assessment Of Myocardial Viabilitymentioning

confidence: 56%

The role of cardiac magnetic resonance imaging following acute myocardial infarction

et al. 2012

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“…Furthermore, the transmural extent of myocardial LGE predicts chances of post-revascularization functional recovery, as LV segments with enhancement extending for more than 50% across the wall are not expected to recover after the blood flow is restored. 5 Late-gadolinium enhancement has also been demonstrated to carry significant prognostic information. In fact, tissue heterogeneity induced by the simultaneous presence of healthy and infarcted myocardium at the regional level constitutes a potential substrate for arrhythmias.…”

Section: Present Role Of Cardiac Magnetic Resonancementioning

confidence: 99%

Cardiac magnetic resonance in ischemic cardiomyopathy: present role and future directions

Scatteia¹,

Dellegrottaglie

2023

European Heart Journal Supplements

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Ischemic cardiomyopathy is a significant cause of mortality and morbidity, with peculiar needs for accurate diagnostic and prognostic characterization. Cardiac magnetic resonance (CMR) can help to satisfy these requirements by allowing a comprehensive evaluation of myocardial function, perfusion and tissue composition, with a demonstrated utility in guiding clinical management of patients with known or suspected ischemic cardiomyopathy. When compared with alternative non-invasive imaging modalities, such as stress echocardiography and nuclear techniques, CMR is able to provide accurate (function and perfusion) or peculiar (tissue characterization) information on cardiac pathophysiology, while avoiding exposition to ionizing radiations and overcoming limitations related to the quality of the imaging window. In particular, stress perfusion CMR showed to be accurate, safe, cost-effective, and clinically valuable as a non-invasive test for detecting severity and distribution of myocardial ischemia. In many circumstances, however, local availability of the technique, together with procedural costs, and scanning and post-processing time duration still limit the use of CMR in clinical routine. In the current review, we focused on clinical applications of CMR in ischemic cardiomyopathy. The consolidated role of the technique is described by illustrating both standard and advanced sequences that constitute the current body of a dedicated CMR examination. Ongoing developments and potential future diagnostic and prognostic applications of CMR when assessing ischemic cardiomyopathy are also discussed, with a focus on artificial intelligence-based implementations proposed for refining the efficiency of CMR analysis and reporting.

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“…23 Infarct size also predicts the development of future cardiac events. [28][29][30][31][32] MVO after primary percutaneous coronary intervention is a no-reflow phenomenon in coronary vessels <200 μm, despite successful intervention with adequate reperfusion of the main vessel.…”

Section: Late Gadolinium Enhancement Early After Acute Myocardial Infmentioning

confidence: 99%

The Prognostic Impact of Myocardial Late Gadolinium Enhancement

Panovský

Pleva

Feitová

et al. 2014

Cardiology in Review

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Cardiovascular magnetic resonance using late gadolinium enhancement (LGE) provides a unique opportunity to assess myocardial tissue in vivo. LGE enables tissue characterization in ischemic and nonischemic cardiomyopathies and other cardiac diseases. LGE is associated with adverse clinical outcomes across a range of different cardiac conditions and may improve risk stratification for death, sudden cardiac death, or serious adverse events beyond traditional prognostic markers. Generally, matching data for the prognostic impact of LGE are frequently reached in cardiac disorders. In other diseases, only a limited number of trials are available, but it is anticipated that the prognostic impact of delayed enhancement will become evident. The development and validation of new cardiovascular magnetic resonance methods for diffuse myocardial fibrosis measurements would even improve the prognostic impact of LGE. The evaluation of diffuse myocardial fibrosis has a great potential in large-scale diseases, including their initial phases, with the possibility to identify patients at risk for subsequent development of clinical heart failure, to assess repeatedly the stage and progression of cardiac diseases, and to monitor the effect of treatment.

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Comparative Analysis of Cardiac Magnetic Resonance Viability Indexes to Predict Functional Recovery After Successful Percutaneous Coronary Intervention in Acute Myocardial Infarction

Cited by 7 publications

References 28 publications

The role of cardiac magnetic resonance imaging following acute myocardial infarction

The role of cardiac magnetic resonance imaging following acute myocardial infarction

Cardiac magnetic resonance in ischemic cardiomyopathy: present role and future directions

The Prognostic Impact of Myocardial Late Gadolinium Enhancement

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