Detection of Left Ventricular Thrombi on Cardiac Magnetic Resonance Viability Studies

© 2020 Saudi Heart Association.

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 32(2020), 3 vom: 01., Seite 368-376
1. Verfasser: Alhassan, Donya A (VerfasserIn)
Weitere Verfasser: Waheed, Khawaja Bilal, Sharif, Muhammad N, Ul Hassan, Muhammad Z, Ghaffar, Fazal, Salem, Khaled S, Said, Emad F M, Altalaq, Bayan M, Qarmash, Ahmad O, Arulanantham, Zechariah J
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Magnetic resonance imaging Myocardial infarction Thrombus
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245 1 0 |a Detection of Left Ventricular Thrombi on Cardiac Magnetic Resonance Viability Studies 
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520 |a OBJECTIVE: To highlight detection of left ventricular thrombi on cardiac magnetic resonance (CMR) viability studies 
520 |a METHOD: This retrospective observational study was conducted in the Radiology Department at our Hospital in Dhahran, from April 2015-2019. All recently re-perfused (post-percutaneous coronary intervention/PCI) patients with ST-segment elevation myocardial infarctions (STEMI), having low ejection fractions (<40%), impaired LV functions or abnormal wall motions on transthoracic echocardiographies (TTEs), who underwent cardiac magnetic resonance (CMR) imaging viability studies were included. Patients with incomplete or limited studies (due to artifacts), previous coronary artery bypass graft (CABG), those who lost follow-ups, and those who were contraindicated or unfit for MRIs were excluded. An area of low signal intensity with no late gadolinium enhancement (LGE) was defined as thrombus on MR imaging, and two radiologists reached consensus report for the diagnoses. Patients with anterior or non-anterior wall MI were documented, and their ejection fractions were recorded. Percentage estimation of LV thrombi as detected on CMR studies was made. Any complications (like MI, stroke or death) that occurred within one year of diagnoses were documented. A Chi-square was used to determine association 
520 |a RESULTS: Of the 125 patients, most were men (71.2%) with a mean age of 56.78 years. Eleven patients had left ventricular thrombi (8.8%), and most of these were anterior wall infarctions with low ejection fractions (<40%). Three out of 11 patients with LV thrombi developed complications versus 3 out of 114 without LV thrombi (P- value, .0005) 
520 |a CONCLUSION: Left ventricular thrombi can be detected on cardiac viability studies in recently re-perfused STEMI patients and may possibly predict the risk of complications 
650 4 |a Journal Article 
650 4 |a Magnetic resonance imaging 
650 4 |a Myocardial infarction 
650 4 |a Thrombus 
700 1 |a Waheed, Khawaja Bilal  |e verfasserin  |4 aut 
700 1 |a Sharif, Muhammad N  |e verfasserin  |4 aut 
700 1 |a Ul Hassan, Muhammad Z  |e verfasserin  |4 aut 
700 1 |a Ghaffar, Fazal  |e verfasserin  |4 aut 
700 1 |a Salem, Khaled S  |e verfasserin  |4 aut 
700 1 |a Said, Emad F M  |e verfasserin  |4 aut 
700 1 |a Altalaq, Bayan M  |e verfasserin  |4 aut 
700 1 |a Qarmash, Ahmad O  |e verfasserin  |4 aut 
700 1 |a Arulanantham, Zechariah J  |e verfasserin  |4 aut 
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