Application of Cardiac Enhanced MRI in Acute Myocardial Infarction with Normal Result of Coronary Angiography_West China Medical Journal

Authors：

 LIChun-hui ^1,2 , YUNHong-yu ¹ , HESen ¹ ,  HEYong ¹

1. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Cardiology, General Hospital of Panzhihua Iron and Steel Group, Panzhihua, Sichuan 617067, P. R. China;

Corresponding author：

HEYong, Email: zznnyeah@163.com

Keywords：

Characteristics of disease history; Routine examination; Acute myocardial infarction; Normal coronary angiography; Enhanced magnetic resonance imaging

DOI：

10.7507/1002-0179.20140571

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the application of cardiac enhanced MRI in acute myocardial infarction with normal result of coronary angiography. Methods On October 18, 2013, a male patient underwent coronary angiography under the local anesthesia. Mild coronary stenosis both in left and right side were found in the surgery, but the results of dynamic cardiogram and myocardial markers were abnormal, which accorded with the clinical procedure of myocardial infarction. The patient underwent cardiac enhanced MRI at the 6th day and was finally diagnosed as acute myocardial infarction. We reviewed the database to find out the significance of cardiac enhanced MRI in diagnosis of acute myocardial infarction. Results Although coronary angiography was the gold standard for the diagnosis of coronary diseases, it had limitations in the diagnosis of coronary eccentric stenosis, branch vascular stenosis and coronary spasm. Cardiac enhanced MRI had the advantages of accurate measurement of the attenuation of myocardium and exhibition of functional changes of ischemic myocardium. Conclusion Cardiac enhanced MRI is important for the diagnosis of myocardial infarction with normal result of coronary angiography.

Citation： LIChun-hui, YUNHong-yu, HESen, HEYong. Application of Cardiac Enhanced MRI in Acute Myocardial Infarction with Normal Result of Coronary Angiography. West China Medical Journal, 2014, 29(10): 1891-1894. doi: 10.7507/1002-0179.20140571 Copy

1.	胡大一, 黄峻, 马长生, 等. 心血管病内科学高级教程[M]. 北京:人民军医出版社, 2011:48, 146.
2.	Douglas PZ. Braunwald心脏病学:心血管内科学教科书[M]. 7版. 陈灏珠, 译. 北京:人民卫生出版社, 2006:311-322, 424-429.
3.	Rundback JH. In support of AHA indications for screening angiography at the time of coronary arteriography:understanding the recommendations and clarifying the goals[J]. Vasc Med, 2009, 14(3):277-281.
4.	Young JJ, Chung ES, Menon SG, et al. Early revascularization and ACC/AHA guideline-compliant medical management improve left ventricular function and short-term prognosis in patients presenting with acute myocardial infarction and severe left ventricular dysfunction[J]. J Invasive Cardiol, 2006, 18(11):540-543.
5.	常以芳. 冠脉造影正常的急性心肌梗死患者血管内皮功能的研究[J]. 中国医药导刊, 2008, 10(9):1328-1329.
6.	张颖, 韩英, 王丽双. 急性心肌梗死冠状动脉造影正常的临床分析[J]. 医学信息·中旬刊, 2011, 24(9):4749-4750.
7.	肖庆华, 刘艳春, 姜静. 冠脉造影正常的急性心肌梗死患者临床分析[J]. 当代医学, 2013, 19(13):106-107.
8.	施仲伟. 用血管造影术评价冠状动脉营腔的局限性[J]. 国外医学·心血管疾病分册, 1996, 23(4):233-235.
9.	黄璐, 韩瑞, 孙子燕, 等. 第二部分心脏CT和MRI[J]. 放射学实践, 2012, 27(1):3-10.
10.	赵艳华. 心脏MRI对急性心肌梗死的诊断价值[J]. 中国实用医药, 2011, 6(20):54-55.
11.	Wong DT, Richardson JD, Puri R, et al. The role of cardiac magnetic resonance imaging following acute myocardial infarction[J]. Eur Radiol, 2012, 22(8):1757-1768.
12.	Delewi R, Nijveldt R, Hirsch A, et al. Left ventricular thrombus formation after acute myocardial infarction as assessed by cardiovascular magnetic resonance imaging[J]. Eur J Radiol, 2012, 81(12):3900-3904.
13.	张惠茅, 王文志, 张千, 等. 1.5T MRI对冠心病心肌缺血程度的评估[J]. 吉林大学学报·医学版, 2008, 34(1):153-155.
14.	Ahmed N, Carrick D, Layland J, et al. The role of cardiac magnetic resonance imaging (MRI) in acute myocardial infarction (AMI)[J]. Heart Lung Circ, 2013, 22(4):243-255.
15.	Ishida M, Kato S, Sakuma H. Cardiac MRI in ischemic heart disease[J]. Circ J, 2009, 73(9):1577-1588.
16.	Gunning MG, Anagnostopoulos C, Knight CJ, et al. Comparison of ²⁰¹Tl, ^99mTc-tetrofosmin, and dobutamine magnetic resonance imaging for identifying hibernating myocardium[J]. 1998, 98(18):1869-1874.
17.	Slade JM, Towse TF, Gossain VV, et al. Peripheral microvascular response to muscle contraction is unaltered by early diabetes but decreases with age[J]. J Appl Physiol, 2011, 111(5):1361-1371.

1. 胡大一, 黄峻, 马长生, 等. 心血管病内科学高级教程[M]. 北京:人民军医出版社, 2011:48, 146.
2. Douglas PZ. Braunwald心脏病学:心血管内科学教科书[M]. 7版. 陈灏珠, 译. 北京:人民卫生出版社, 2006:311-322, 424-429.
3. Rundback JH. In support of AHA indications for screening angiography at the time of coronary arteriography:understanding the recommendations and clarifying the goals[J]. Vasc Med, 2009, 14(3):277-281.
4. Young JJ, Chung ES, Menon SG, et al. Early revascularization and ACC/AHA guideline-compliant medical management improve left ventricular function and short-term prognosis in patients presenting with acute myocardial infarction and severe left ventricular dysfunction[J]. J Invasive Cardiol, 2006, 18(11):540-543.
5. 常以芳. 冠脉造影正常的急性心肌梗死患者血管内皮功能的研究[J]. 中国医药导刊, 2008, 10(9):1328-1329.
6. 张颖, 韩英, 王丽双. 急性心肌梗死冠状动脉造影正常的临床分析[J]. 医学信息·中旬刊, 2011, 24(9):4749-4750.
7. 肖庆华, 刘艳春, 姜静. 冠脉造影正常的急性心肌梗死患者临床分析[J]. 当代医学, 2013, 19(13):106-107.
8. 施仲伟. 用血管造影术评价冠状动脉营腔的局限性[J]. 国外医学·心血管疾病分册, 1996, 23(4):233-235.
9. 黄璐, 韩瑞, 孙子燕, 等. 第二部分心脏CT和MRI[J]. 放射学实践, 2012, 27(1):3-10.
10. 赵艳华. 心脏MRI对急性心肌梗死的诊断价值[J]. 中国实用医药, 2011, 6(20):54-55.
11. Wong DT, Richardson JD, Puri R, et al. The role of cardiac magnetic resonance imaging following acute myocardial infarction[J]. Eur Radiol, 2012, 22(8):1757-1768.
12. Delewi R, Nijveldt R, Hirsch A, et al. Left ventricular thrombus formation after acute myocardial infarction as assessed by cardiovascular magnetic resonance imaging[J]. Eur J Radiol, 2012, 81(12):3900-3904.
13. 张惠茅, 王文志, 张千, 等. 1.5T MRI对冠心病心肌缺血程度的评估[J]. 吉林大学学报·医学版, 2008, 34(1):153-155.
14. Ahmed N, Carrick D, Layland J, et al. The role of cardiac magnetic resonance imaging (MRI) in acute myocardial infarction (AMI)[J]. Heart Lung Circ, 2013, 22(4):243-255.
15. Ishida M, Kato S, Sakuma H. Cardiac MRI in ischemic heart disease[J]. Circ J, 2009, 73(9):1577-1588.
16. Gunning MG, Anagnostopoulos C, Knight CJ, et al. Comparison of ²⁰¹Tl, ^99mTc-tetrofosmin, and dobutamine magnetic resonance imaging for identifying hibernating myocardium[J]. 1998, 98(18):1869-1874.
17. Slade JM, Towse TF, Gossain VV, et al. Peripheral microvascular response to muscle contraction is unaltered by early diabetes but decreases with age[J]. J Appl Physiol, 2011, 111(5):1361-1371.

Previous Article
Clinical Research on Remifentanil-propofol for Tracheal Intubation in Patients who are Awake
Next Article
The Study of MRI in Brain Development and External Hydrocephalus of Neonates and Infants

West China Medical Journal

Application of Cardiac Enhanced MRI in Acute Myocardial Infarction with Normal Result of Coronary Angiography

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content