Utility of cardiac magnetic resonance (CMR) in the evaluation of right ventricular (RV) involvement in patients with myocardial infarction (MI)

La Radiologia medica
Nicola GaleaCarlo Catalano

Abstract

The aim of this work was to compare the prevalence of right ventricle involvement in a population of patients with myocardial infarction as detected by cardiac magnetic resonance (CMR), clinical presentation, electrocardiographic (ECG) and echocardiographic criteria. A total of 97 consecutive patients, admitted to our institution for acute myocardial infarction, underwent a standard CMR examination within 5 days after the event. The presence of myocardial oedema and late enhancement of the right ventricle were compared to infarct location (anterior vs. inferior), clinical data, ECG, echocardiography results and other CMR findings. The results were analysed statistically using the Student's t test for independent samples and the K statistic. Among the 97 patients included in the study, a diagnosis of right ventricular infarction was established in 12, 14 and 24 cases on the basis of the clinical data, the ECG and echocardiography, respectively. CMR demonstrated myocardial oedema and late enhancement of the right ventricle in 48 and 32 cases, respectively. The right ventricle was involved in 46 % of patients with inferior myocardial infarction (15/32) and in 30 % with anterior myocardial infarction (17/56), correlating to a worse...Continue Reading

References

May 1, 1989·The Annals of Thoracic Surgery·W E JohnstonW P Santamore
Feb 1, 1974·The American Journal of Cardiology·J N CohnC J Limas
Aug 1, 1981·European Heart Journal·J Lopez-SendónJ Viñuelas Adanez
Aug 15, 1994·The American Journal of Cardiology·M FerrarioC Montemartini
Apr 28, 1994·The New England Journal of Medicine·J W Kinch, T J Ryan
Jan 12, 2001·Journal of the American College of Cardiology·S R MehtaS Yusuf
Sep 13, 2002·Journal of the American College of Cardiology·James A Goldstein
Nov 5, 2002·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·M I BurgessS G Ray
May 11, 2005·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Milind Y DesaiDavid A Bluemke
May 11, 2005·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Olga BondarenkoAlbert C van Rossum
Nov 23, 2006·Journal of the American College of Cardiology·Andreas KumarMatthias G Friedrich
Dec 19, 2006·Coronary Artery Disease·Theodorus A M KaandorpJeroen J Bax
May 10, 2008·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Lars Grosse-WortmannShi-Joon Yoo
Feb 23, 2010·AJR. American Journal of Roentgenology·Christoph J JensenOliver Bruder
Jul 2, 2010·Current Opinion in Cardiology·Sherryn Rambihar, Hisham Dokainish
Jul 16, 2010·Cardiovascular Research·Joerg Herrmann
Jul 21, 2010·Circulation·Cheuk-Kit WongUNKNOWN Hirulog and Early Reperfusion or Occlusion-2 Investigators

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