Left ventricular function, strain, and infarct characteristics in patients with transient ST-segment elevation myocardial infarction compared to ST-segment and non-ST-segment elevation myocardial infarctions
Autor: | Gladys N. Janssens, Ahmet Demirkiran, Maarten A.H. van Leeuwen, Luuk H. G. A. Hopman, Yvonne J. M. van Cauteren, Albert C. van Rossum, Nina W. van der Hoeven, Martijn W. Smulders, Alexander Nap, Niels van Royen, Paul F A Teunissen, Nikki van Pouderoijen, Robin Nijveldt, Sebastiaan C.A.M. Bekkers, Henk Everaars, Peter M. van de Ven, Lourens F. H. J. Robbers, Jorrit S. Lemkes |
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Přispěvatelé: | Cardiology, ACS - Atherosclerosis & ischemic syndromes, General practice, ACS - Heart failure & arrhythmias, RS: Carim - B06 Imaging, MUMC+: MA Cardiologie (9), Cardiologie, RS: Carim - H01 Clinical atrial fibrillation, MUMC+: MA Med Staf Artsass Cardiologie (9) |
Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
medicine.medical_specialty
cardiovascular magnetic resonance imaging Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] myocardial tissue characteristics Infarction Contrast Media Magnetic Resonance Imaging Cine Strain (injury) Gadolinium 030204 cardiovascular system & hematology Ventricular Function Left 03 medical and health sciences 0302 clinical medicine strain Percutaneous Coronary Intervention Internal medicine Medicine ST segment infarct size Humans Radiology Nuclear Medicine and imaging In patient cardiovascular diseases 030212 general & internal medicine Myocardial infarction transient ST-segment elevation myocardial infarction Prospective Studies Prospective cohort study Non-ST Elevated Myocardial Infarction Ejection fraction medicine.diagnostic_test business.industry Vascular damage Radboud Institute for Molecular Life Sciences [Radboudumc 16] Magnetic resonance imaging General Medicine medicine.disease Cardiology ST Elevation Myocardial Infarction Cardiology and Cardiovascular Medicine business INTERVENTION |
Zdroj: | European heart journal cardiovascular Imaging, 23(6), 836-845 European Heart Journal Cardiovascular Imaging, 23, 836-845 European Heart Journal Cardiovascular Imaging, 23(6), 836-845. Oxford University Press Demirkiran, A, van der Hoeven, N W, Janssens, G N, Lemkes, J S, Everaars, H, van de Ven, P M, van Pouderoijen, N, van Cauteren, Y J M, van Leeuwen, M A H, Nap, A, Teunissen, P F, Hopman, L H G A, Bekkers, S C A M, Smulders, M W, van Royen, N, van Rossum, A C, Robbers, L F H J & Nijveldt, R 2022, ' Left ventricular function, strain, and infarct characteristics in patients with transient ST-segment elevation myocardial infarction compared to ST-segment and non-ST-segment elevation myocardial infarctions ', European heart journal cardiovascular Imaging, vol. 23, no. 6, pp. 836-845 . https://doi.org/10.1093/ehjci/jeab114 European Heart Journal Cardiovascular Imaging, 23, 6, pp. 836-845 |
ISSN: | 2047-2404 |
Popis: | Aims This study aims to explore cardiovascular magnetic resonance (CMR)-derived left ventricular (LV) function, strain, and infarct size characteristics in patients with transient ST-segment elevation myocardial infarction (TSTEMI) compared to patients with ST-segment and non-ST-segment elevation myocardial infarctions (STEMI and NSTEMI, respectively). Methods and results In total, 407 patients were enrolled in this multicentre observational prospective cohort study. All patients underwent CMR examination 2–8 days after the index event. CMR cine imaging was performed for functional assessment and late gadolinium enhancement to determine infarct size and identify microvascular obstruction (MVO). TSTEMI patients demonstrated the highest LV ejection fraction and the most preserved global LV strain (longitudinal, circumferential, and radial) across the three groups (overall P ≤ 0.001). The CMR-defined infarction was less frequently observed in TSTEMI than in STEMI patients [77 (65%) vs. 124 (98%), P Conclusion TSTEMI yielded favourable cardiac LV function, strain, and infarct-related scar mass compared to STEMI and NSTEMI. LV function and infarct characteristics of TSTEMI tend to be more similar to NSTEMI than STEMI. |
Databáze: | OpenAIRE |
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