[Significance of the nuclear magnetic resonance in the detection of coronary artery patency after thrombolysis]

Autor: R, Kalil Filho, A P, Chacra, C P, de Albuquerque, P R, Soares, I, Antelmi, L, Rosemberg, A C, Magalhães, G, Bellotti, F, Pileggi, B, Tranchesi Júnior
Rok vydání: 1995
Předmět:
Zdroj: Arquivos brasileiros de cardiologia. 64(3)
ISSN: 0066-782X
Popis: To determine the value of magnetic resonance imaging (MRI) in the noninvasive detection of infarct related coronary artery patency after thrombolysis.We studied 26 patients with acute myocardial infarction submitted to thrombolysis underwent MRI studies before and after 0.1mmol/kg gadolinium-DTPA injection within the first 48 h of MI. Signal intensity was assessed by circumferential profile analysis techniques.The average ratio of signal intensity of infarcted tissue over normal myocardium (I/N) was significantly higher in patients with patent arteries (1.3 +/- 0.13 vs 1.12 +/- 0.07, p0.02). Compared to coronariography MRI, sensitivity of 81% and specificity of 100% for the diagnosis of coronary patency.Gadolinium infusion increased infarcted and normal myocardium differentiation. The study of gadolinium kinetics at MRI is a promising technique for noninvasive diagnosis of coronary patency.
Databáze: OpenAIRE