PMID- 25968879
OWN - NLM
STAT- MEDLINE
DCOM- 20160401
LR  - 20181113
IS  - 1423-0151 (Electronic)
IS  - 1011-7571 (Print)
IS  - 1011-7571 (Linking)
VI  - 24
IP  - 4
DP  - 2015
TI  - Acute One-Stop Cardiovascular Magnetic Resonance Imaging for Differential 
      Diagnosis in Patients with Acute Coronary Syndrome and Unobstructed Coronary 
      Arteries.
PG  - 325-31
LID - 10.1159/000381856 [doi]
AB  - OBJECTIVE: We aimed to evaluate the contributions of acute one-stop 
      cardiovascular magnetic resonance (CMR) imaging to the differential diagnosis of 
      acute coronary syndrome (ACS) and unobstructed coronary arteries. SUBJECTS AND 
      METHODS: In this study, 32 consecutive patients who presented with ACS and 
      unobstructed coronary arteries on angiography were enrolled between January 2010 
      and December 2012. Acute one-stop CMR, including cine, angiography, black-blood, 
      first-pass perfusion and late gadolinium enhancement (LGE) imaging, was performed 
      with a pre-specified algorithm which was decided on by the doctors for all 
      patients. The intimal flap in the aorta and the filling defect in the pulmonary 
      artery were detected on MR angiography imaging. Left ventricular wall motion and 
      ventricular thickness were analyzed in cine-mode sequences. The LGE images were 
      reviewed for the presence, anatomical distribution and extent of contrast 
      enhancement. RESULTS: The acute one-stop CMR study was completed in all the 32 
      patients without adverse events. The overall time duration was between 15 and 60 
      min. Of the 32 patients, a CMR diagnosis was made in 30 (93.8%). Aortic 
      dissection was detected in 3 patients, pulmonary embolism in 2, hypertrophic 
      cardiomyopathy in 2, acute myocardial infarction in 5, acute myocarditis in 16 
      and stress cardiomyopathy in 2. No confirmed diagnosis was established in the 
      remaining 2 patients with normal CMR. CONCLUSION: Acute one-stop CMR allowed for 
      the identification of an aetiology in most of the patients in this study. It may 
      prove to be of immense help in establishing a differential diagnosis in patients 
      presenting with acute chest pain, elevated troponin I and normal coronary 
      arteries.
CI  - (c) 2015 S. Karger AG, Basel.
FAU - Chu, Guang
AU  - Chu G
AD  - Department of Cardiology, Shanghai Jiaotong University, First People's Hospital, 
      Shanghai, People's Republic of China.
FAU - Zhang, Guobing
AU  - Zhang G
FAU - Zhu, Ming
AU  - Zhu M
FAU - Zhang, Zhi
AU  - Zhang Z
FAU - Wu, Ying
AU  - Wu Y
FAU - Zhang, Hao
AU  - Zhang H
LA  - eng
PT  - Journal Article
DEP - 20150509
PL  - Switzerland
TA  - Med Princ Pract
JT  - Medical principles and practice : international journal of the Kuwait University, 
      Health Science Centre
JID - 8901334
RN  - 0 (Contrast Media)
RN  - AU0V1LM3JT (Gadolinium)
SB  - IM
MH  - Acute Coronary Syndrome/*diagnosis
MH  - Adult
MH  - Aged
MH  - Chest Pain/*etiology
MH  - Contrast Media
MH  - Coronary Angiography
MH  - Coronary Vessels/*pathology
MH  - Diagnosis, Differential
MH  - Female
MH  - Gadolinium
MH  - Humans
MH  - Magnetic Resonance Imaging/*methods
MH  - Male
MH  - Middle Aged
PMC - PMC5588295
EDAT- 2015/05/15 06:00
MHDA- 2016/04/02 06:00
PMCR- 2015/05/09
CRDT- 2015/05/14 06:00
PHST- 2014/05/20 00:00 [received]
PHST- 2015/04/07 00:00 [accepted]
PHST- 2015/05/14 06:00 [entrez]
PHST- 2015/05/15 06:00 [pubmed]
PHST- 2016/04/02 06:00 [medline]
PHST- 2015/05/09 00:00 [pmc-release]
AID - 000381856 [pii]
AID - mpp-0024-0325 [pii]
AID - 10.1159/000381856 [doi]
PST - ppublish
SO  - Med Princ Pract. 2015;24(4):325-31. doi: 10.1159/000381856. Epub 2015 May 9.