Key result
CMR identifies novel infarct characteristics like microvascular obstruction and intramyocardial hemorrhage to stratify STEMI prognosis.
Why the study?
Heart failure incidence after STEMI is increasing and reperfusion remains the only effective infarct-reduction method, driving an unmet need for novel cardioprotective treatments informed by CMR prognostic stratification.
Does cardiac magnetic resonance imaging improve prognostic stratification in patients with acute ST-segment elevation myocardial infarction?
Does cardiac magnetic resonance imaging improve prognostic stratification in patients with acute ST-segment elevation myocardial infarction?
Answers are grounded in this paper and cite their sources.
CMR-based assessment of infarct characteristics provides valuable prognostic information for identifying STEMI patients at high risk of heart failure and sudden cardiac death.
Currently the incidence of congestive heart failure after ST-segment elevation myocardial infarction (STEMI) tends to increase. Reperfusion therapy is still the only effective method to reduce an infarct size. Therefore, there is a high unmet need of novel cardioprotective treatments that would improve outcomes in such patients. Recent advances in cardiovascular magnetic resonance (CMR) methods enabled the identification of certain new infarct characteristics associated with the development of heart failure and sudden cardiac death. These characteristics can help identify new groups of high risk patients and used as a targets for novel cardioprotective treatments. This part of the review summarizes novel CMR-based characteristics of myocardial infarction and their role in the prognostic stratification of STEMI patients.
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Terenicheva et al. (2022) conducted a review in ST-segment elevation myocardial infarction (STEMI). Cardiovascular magnetic resonance (CMR) was evaluated. Cardiovascular magnetic resonance imaging identifies novel infarct characteristics, such as microvascular obstruction and intramyocardial hemorrhage, that help in the prognostic stratification of patients with STEMI.
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