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Usefulness of cardiac magnetic resonance imaging in patients with acute spontaneous coronary artery dissection

The American Journal of Cardiology Aug 24, 2018

Tan NY, et al. - Researchers determined the usefulness of cardiac magnetic resonance (CMR) in spontaneous coronary artery dissection (SCAD). For this purpose, they reviewed confirmed SCAD cases with CMR performed within 8 days of the index SCAD. They recorded clinical variables, including demographics and medical history, and measured CMR indices, including myocardial delayed enhancement (MDE), microvascular obstruction (MVO), perfusion defects, left ventricular ejection fraction (LVEF), and wall motion score index (WMSI). According to data, mean LVEF and WMSI were 56.1% and 1.27, respectively. Of 18 patients (all women, mean age 47.1 years) included, MDE in 15 patients was consistent with myocardial infarction (MI) in the SCAD distribution(s) identified on coronary angiography, with eight patients having concomitant MVO. Overall, based on the findings, they concluded a significant value of CMR in clarifying the diagnosis and evaluating for adverse sequelae post-acute SCAD.

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