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6 January 2017

The theory: imaging of oedema, viability and ischaemia

Professor Colin Berry

Cardiac Magnetic Resonance in myocardial infarction

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Summary

Discussion of the theory behind the role for CMR in patients with myocardial infarction. Despite optimal peri-procedural results, infarct-burden and microvascular obstruction (MVO) can be severe. Indeed, one third of acute MI are complicated by MVO.  CMR allows accurate assessment of: LV function, scar with late gadolinium enhancement – the transmural extent of which is inversely related to viable myocardium, oedema and area-at-risk with T2 imaging, haemorrhage in the infarct core.

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Summary

Discussion of the theory behind the role for CMR in patients with myocardial infarction. Despite optimal peri-procedural results, infarct-burden and microvascular obstruction (MVO) can be severe. Indeed, one third of acute MI are complicated by MVO.  CMR allows accurate assessment of: LV function, scar with late gadolinium enhancement – the transmural extent of which is inversely related to viable myocardium, oedema and area-at-risk with T2 imaging, haemorrhage in the infarct core.

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