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
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