THE USEFULNESS OF EARLY CARDIOVASCULAR MAGNETIC RESONANCE IN PATIENTS PRESENTING WITH ACUTE CHEST PAIN, POSITIVE TROPONIN AND NON-OBSTRUCTIVE CORONARY ARTERIES by Ferreira, V, Dall'Armellina, E, Piechnik, S, Karamitsos, T, Francis, J, Choudhury, R, Channon, K, Banning, A, Kharbanda, R, Forfar, C, Ormerod, O, Prendergast, B, Kardos, A, Basagiannia, C, Newton, J, Friedrich, M, Robson, M, Neubauer, S

121 High Diagnostic Yield in Patients Presenting with Acute Chest Pain, Positive Troponins but non-obstructive Coronaries by Cardiovascular Magnetic Resonance imaging with Conventional and Novel T1 Mapping Techniques. by Ferreira, V, Dall'Armellina, E, Piechnik, S, Karamitsos, T, Francis, J, Choudhury, R, Channon, K, Kharbanda, R, Forfar, C, Ormerod, O, Prendergast, B, Banning, A, Kardos, A, Newton, J, Friedrich, M, Robson, M, Neubauer, S

“…INTRODUCTION: Up to 10% of patients presenting with chest pain and elevated troponin levels demonstrate non-obstructive coronary arteries on angiography, posing a clinical challenge in diagnosis, prognosis and management. …”

The role of cardiovascular magnetic resonance in patients with acute coronary syndromes. by Dall Armellina, E, Choudhury, R

“…The advantages of using CMR acutely could potentially include triage/differential diagnosis in patients presenting with chest pain and troponin rise but without diagnostic electrocardiogram changes, assessment of severity of myocardial injury (irreversible vs reversible damage) in patients with ST-elevation myocardial infarction and non-ST-elevation myocardial infarction, and risk stratification and assessment of prognosis in patients with ACS. …”

CMR for characterization of the myocardium in acute coronary syndromes. by Dall'Armellina, E, Karamitsos, T, Neubauer, S, Choudhury, R

“…An accurate appraisal of the myocardium with CMR in the first hours after the onset of chest pain could provide supporting information to standard diagnostic tools, such as electrocardiography and measurement of blood biomarkers, which could help guide the selection of appropriate treatment. …”

Cardiovascular magnetic resonance by non contrast T1-mapping allows assessment of severity of injury in acute myocardial infarction. by Dall'Armellina, E, Piechnik, S, Ferreira, V, Si, Q, Robson, M, Francis, J, Cuculi, F, Kharbanda, R, Banning, A, Choudhury, R, Karamitsos, T, Neubauer, S

“…METHODS: 3T CMR including T2W, T1-mapping and LGE was performed in 41 patients [of these, 78% were ST elevation MI (STEMI)] with acute MI at 12-48 hour after chest pain onset and at 6 months (6M). Patients with STEMI underwent primary PCI prior to CMR. …”

Cardiovascular magnetic resonance perfusion imaging at 3-tesla for the detection of coronary artery disease: a comparison with 1.5-tesla. by Cheng, A, Pegg, T, Karamitsos, T, Searle, N, Jerosch-Herold, M, Choudhury, R, Banning, A, Neubauer, S, Robson, M, Selvanayagam, J

“…METHODS: Sixty-one patients (age 64 +/- 8 years) referred for elective diagnostic coronary angiography (CA) for investigation of exertional chest pain were studied (before angiogram) with first-pass perfusion CMR at both 1.5- and 3-T and at stress (140 microg/kg/min intravenous adenosine, Adenoscan, Sanofi-Synthelabo, Guildford, United Kingdom) and rest. …”