The unique value of cardiovascular magnetic resonance in
patients with suspected acute coronary syndrome and
culprit-free coronary angiograms

J 2017

The unique value of cardiovascular magnetic resonance in patients with suspected acute coronary syndrome and culprit-free coronary angiograms

PANOVSKÝ, Roman, Júlia BOROVA, Martin PLEVA, Věra FEITOVÁ, Petr NOVOTNÝ et. al.

Základní údaje

Originální název

The unique value of cardiovascular magnetic resonance in patients with suspected acute coronary syndrome and culprit-free coronary angiograms

Autoři

PANOVSKÝ, Roman (203 Česká republika, garant, domácí), Júlia BOROVA (203 Česká republika), Martin PLEVA (203 Česká republika), Věra FEITOVÁ (203 Česká republika, domácí), Petr NOVOTNÝ (203 Česká republika, domácí), Vladimír KINCL (203 Česká republika, domácí), Tomáš HOLEČEK (203 Česká republika, domácí), Jaroslav MELUZÍN (203 Česká republika, domácí), Ondřej SOCHOR (203 Česká republika, domácí) a Radka STEPANOVA (203 Česká republika)

Vydání

BMC Cardiovascular Disorders, London, Biomed Central Ltd, 2017, 1471-2261

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.812

Kód RIV

RIV/00216224:14110/17:00097375

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1186/s12872-017-0610-6

UT WoS

000404716400001

Klíčová slova anglicky

Cardiac magnetic resonance; Acute coronary syndrome; Normal coronary angiography

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 20. 3. 2018 12:38, Soňa Böhmová

Anotace

V originále

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.

Citovat

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.

@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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