Temporal course of microvascular obstruction after myocardial infarction assessed by MRI
PURPOSEWe aimed to analyze the extent of microvascular obstruction (MO) after the index event compared with the follow-up at a median of three months.METHODSWe identified 31 patients with MO after primary percutaneous coronary intervention of acute myocardial infarction by cardiac magnetic resonance...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2016-03-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/temporal-course-of-microvascular-obstruction-after/55520
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| _version_ | 1797691225048875008 |
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| author | Nadine Abanador-Kamper Vasiliki Karamani Lars Kamper Hilmar Brinkmann Patrick Haage Melchior Seyfarth |
| author_facet | Nadine Abanador-Kamper Vasiliki Karamani Lars Kamper Hilmar Brinkmann Patrick Haage Melchior Seyfarth |
| author_sort | Nadine Abanador-Kamper |
| collection | DOAJ |
| description | PURPOSEWe aimed to analyze the extent of microvascular obstruction (MO) after the index event compared with the follow-up at a median of three months.METHODSWe identified 31 patients with MO after primary percutaneous coronary intervention of acute myocardial infarction by cardiac magnetic resonance imaging. The initial examination was performed after the index event, and 27 patients had the follow-up exam after a median of three months (interquartile range, 2–4 months). In addition, we examined 10 patients without MO after transmural myocardial infarction, as a control group.RESULTSMO disappeared in 23 of 27 patients (85%) in the follow-up and transformed into transmural late gadolinium enhancement. In patients with persistent MO, mean MO size decreased from 2.25% to 1.25%. In patients with MO, mean infarct size decreased significantly from 20.8% to 14.7% (P < 0.001). In the control group, mean infarct size decreased from 12.7% to 10.5% in the follow-up scan (P = 0.137).CONCLUSIONMO is significantly reduced during the follow-up after acute myocardial infarction. |
| first_indexed | 2024-03-12T02:10:20Z |
| format | Article |
| id | doaj.art-99c74af218d7417893eedb29760f3bc9 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:10:20Z |
| publishDate | 2016-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-99c74af218d7417893eedb29760f3bc92023-09-06T13:41:57ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122016-03-0122215115510.5152/dir.2015.1512813049054Temporal course of microvascular obstruction after myocardial infarction assessed by MRINadine Abanador-Kamper0Vasiliki Karamani1Lars Kamper2Hilmar Brinkmann3Patrick Haage4Melchior Seyfarth5 Department of Cardiology, HELIOS Medical Center Wuppertal, University Hospital Witten/Herdecke, Wuppertal, Germany; Center for Clinical Medicine Witten/Herdecke University Faculty of Health, Wuppertal, Germany Department of Cardiology, HELIOS Medical Center Wuppertal, University Hospital Witten/Herdecke, Wuppertal, Germany; Center for Clinical Medicine Witten/Herdecke University Faculty of Health, Wuppertal, Germany Department of Diagnostic and Interventional Radiology, HELIOS Medical Center Wuppertal, University Hospital Witten/Herdecke, Wuppertal, Germany; Center for Clinical Medicine Witten/Herdecke University Faculty of Health, Wuppertal, Germany Department of Cardiology, HELIOS Medical Center Wuppertal, University Hospital Witten/Herdecke, Wuppertal, Germany; Center for Clinical Medicine Witten/Herdecke University Faculty of Health, Wuppertal, Germany Department of Diagnostic and Interventional Radiology, HELIOS Medical Center Wuppertal, University Hospital Witten/Herdecke, Wuppertal, Germany; Center for Clinical Medicine Witten/Herdecke University Faculty of Health, Wuppertal, Germany Department of Cardiology, HELIOS Medical Center Wuppertal, University Hospital Witten/Herdecke, Wuppertal, Germany; Center for Clinical Medicine Witten/Herdecke University Faculty of Health, Wuppertal, Germany PURPOSEWe aimed to analyze the extent of microvascular obstruction (MO) after the index event compared with the follow-up at a median of three months.METHODSWe identified 31 patients with MO after primary percutaneous coronary intervention of acute myocardial infarction by cardiac magnetic resonance imaging. The initial examination was performed after the index event, and 27 patients had the follow-up exam after a median of three months (interquartile range, 2–4 months). In addition, we examined 10 patients without MO after transmural myocardial infarction, as a control group.RESULTSMO disappeared in 23 of 27 patients (85%) in the follow-up and transformed into transmural late gadolinium enhancement. In patients with persistent MO, mean MO size decreased from 2.25% to 1.25%. In patients with MO, mean infarct size decreased significantly from 20.8% to 14.7% (P < 0.001). In the control group, mean infarct size decreased from 12.7% to 10.5% in the follow-up scan (P = 0.137).CONCLUSIONMO is significantly reduced during the follow-up after acute myocardial infarction. http://www.dirjournal.org/archives/archive-detail/article-preview/temporal-course-of-microvascular-obstruction-after/55520 |
| spellingShingle | Nadine Abanador-Kamper Vasiliki Karamani Lars Kamper Hilmar Brinkmann Patrick Haage Melchior Seyfarth Temporal course of microvascular obstruction after myocardial infarction assessed by MRI Diagnostic and Interventional Radiology |
| title | Temporal course of microvascular obstruction after myocardial infarction assessed by MRI |
| title_full | Temporal course of microvascular obstruction after myocardial infarction assessed by MRI |
| title_fullStr | Temporal course of microvascular obstruction after myocardial infarction assessed by MRI |
| title_full_unstemmed | Temporal course of microvascular obstruction after myocardial infarction assessed by MRI |
| title_short | Temporal course of microvascular obstruction after myocardial infarction assessed by MRI |
| title_sort | temporal course of microvascular obstruction after myocardial infarction assessed by mri |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/temporal-course-of-microvascular-obstruction-after/55520
|
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