March 18, 2015British Journal of RadiologyOpen Access

Cardiac MR enables diagnosis in 90% of patients with acute chest pain, elevated biomarkers and unobstructed coronary arteries

View Full Paper

Ask AI

Bookmark

Why the study?

Does cardiac MRI provide an accurate diagnosis in patients with acute chest pain, elevated biomarkers, and unobstructed coronary arteries?

Structured PICO

Does cardiac MRI provide an accurate diagnosis in patients with acute chest pain, elevated biomarkers, and unobstructed coronary arteries?

Population

125 patients with acute chest pain, elevated cardiac enzymes, and non-obstructed coronary arteries at coronary angiography. Mean age 53.5 years, 66.4% male.

Intervention

Cardiac MRI (CMR) including cine, oedema-sensitive, and late gadolinium-enhancement imaging, performed within a median of 3 days after cardiac catheterization.

Outcome

Concordance between MRI-based diagnosis and the final consensus reference diagnosis (based on clinical follow-up up to 3 months and synopsis of all clinical, laboratory, and imaging data).surrogate

Cardiac MRI performed early after catheterization provides a correct final diagnosis in 90% of patients presenting with acute chest pain, elevated cardiac enzymes, and unobstructed coronary arteries.

Limitations

The final reference diagnosis was based on the synopsis of all clinical, laboratory and imaging findings, including CMR imaging (incorporation bias).
Imaging bias, as the cardiological diagnosis was influenced by the results of CMR in this clinical setting.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Supports early cardiac MRI in this presentation; leaves open randomized trials before practice change.

Cite This Study

Emrich et al. (2015) studied this question.

synapsesocial.com/papers/6a72460d35aa2c282ce32b62 https://doi.org/10.1259/bjr.20150025

Topics

Cardiac MRI Women and heart disease

View Full Paper

Ask AI

Bookmark

Cardiac MR enables diagnosis in 90% of patients with acute chest pain, elevated biomarkers and unobstructed coronary arteries

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Topics

Cardiac MR enables diagnosis in 90% of patients with acute chest pain, elevated biomarkers and unobstructed coronary arteries

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider