| PANOVSKÝ, Roman, Júlia BOROVA, Martin PLEVA, Věra FEITOVÁ, Petr NOVOTNÝ, Vladimír KINCL, Tomáš HOLEČEK, Jaroslav MELUZÍN, Ondřej SOCHOR a Radka STEPANOVA. The unique value of cardiovascular magnetic resonance in patients with suspected acute coronary syndrome and culprit-free coronary angiograms. BMC Cardiovascular Disorders. London: Biomed Central Ltd, 2017, roč. 17, č. 1, s. 1-8. ISSN 1471-2261. Dostupné z: https://dx.doi.org/10.1186/s12872-017-0610-6. |
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@article{1387805,
author = {Panovský, Roman and Borova, Júlia and Pleva, Martin and Feitová, Věra and Novotný, Petr and Kincl, Vladimír and Holeček, Tomáš and Meluzín, Jaroslav and Sochor, Ondřej and Stepanova, Radka},
article_location = {London},
article_number = {1},
doi = {http://dx.doi.org/10.1186/s12872-017-0610-6},
keywords = {Cardiac magnetic resonance; Acute coronary syndrome; Normal coronary angiography},
language = {eng},
issn = {1471-2261},
journal = {BMC Cardiovascular Disorders},
title = {The unique value of cardiovascular magnetic resonance in patients with suspected acute coronary syndrome and culprit-free coronary angiograms},
volume = {17},
year = {2017}
}
TY - JOUR
ID - 1387805
AU - Panovský, Roman - Borova, Júlia - Pleva, Martin - Feitová, Věra - Novotný, Petr - Kincl, Vladimír - Holeček, Tomáš - Meluzín, Jaroslav - Sochor, Ondřej - Stepanova, Radka
PY - 2017
TI - The unique value of cardiovascular magnetic resonance in patients with suspected acute coronary syndrome and culprit-free coronary angiograms
JF - BMC Cardiovascular Disorders
VL - 17
IS - 1
SP - 1-8
EP - 1-8
PB - Biomed Central Ltd
SN - 14712261
KW - Cardiac magnetic resonance
KW - Acute coronary syndrome
KW - Normal coronary angiography
N2 - Background: Patients with chest pain, elevated troponin, and unobstructed coronary disease present a clinical dilemma. The purpose of this study was to investigate the incremental diagnostic value of cardiovascular magnetic resonance (CMR) in a cohort of patients with suspected acute coronary syndrome (ACS) and unobstructed coronary arteries. Results: Data files of patients meeting the inclusion criteria in two cardiology centres were searched and analysed. The inclusion criteria included: 1) thoracic pain suspected with ACS; 2) a significant increase in the high-sensitive Troponin T value; 3) ECG changes; 4) coronary arteries without any significant stenosis; 5) a CMR examination included in the diagnostic process; 6) an uncertain diagnosis before the CMR exam; and 7) the absence of known CMR and contrast media contraindications. Special attention was paid to the benefits of CMR in determining the final diagnosis. In total, 136 patients who underwent coronary angiography for chest pain were analysed. The most frequent underlying causes were myocarditis (38%) and perimyocarditis (18%), followed by angiographically unrecognised acute myocardial infarction (18%) and Takotsubo cardiomyopathy (15%). The final diagnosis remained unclear in 6% of the patients. The contribution of CMR in determining the final diagnosis determination was crucial in 57% of the patients. In another 35% of the patients, CMR confirmed the suspicion and, only 8% of the CMR examinations did not help at all and had no influence on diagnosis or treatment. Conclusion: CMR provided a powerful incremental diagnostic value in the cohort of patients with suspected ACS and unobstructed coronary arteries. CMR is highly recommended to be incorporated as an inalienable part of the diagnostic algorithms in these patients.
ER -
PANOVSKÝ, Roman, Júlia BOROVA, Martin PLEVA, Věra FEITOVÁ, Petr NOVOTNÝ, Vladimír KINCL, Tomáš HOLEČEK, Jaroslav MELUZÍN, Ondřej SOCHOR a Radka STEPANOVA. The unique value of cardiovascular magnetic resonance in patients with suspected acute coronary syndrome and culprit-free coronary angiograms. \textit{BMC Cardiovascular Disorders}. London: Biomed Central Ltd, 2017, roč.~17, č.~1, s.~1-8. ISSN~1471-2261. Dostupné z: https://dx.doi.org/10.1186/s12872-017-0610-6.
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