Case Session 01: Ischemic Heart Disease and Acute Chest Pain (2018)-LGE and Beyond: What CMR Adds in the Investigation of Ischemic Heart Disease

LGE and Beyond: What CMR Adds in the Investigation of Ischemic Heart Disease

Video Transcription

Video Summary

The speaker explains how cardiovascular magnetic resonance (CMR) adds value in ischemic heart disease. In acute myocardial infarction, CMR can assess infarct size, microvascular obstruction, myocardium at risk, and hemorrhage. In non-ST-elevation cases, it helps determine prognosis and distinguish acute from chronic infarction. CMR also differentiates infarction from myocarditis and Takotsubo cardiomyopathy using late gadolinium enhancement and T1/T2 mapping. For revascularization planning, it identifies ischemia, viability, and predicts wall-motion recovery. If MRI is not possible, CT may help in some cases.

Keywords

cardiovascular magnetic resonance

ischemic heart disease

myocardial infarction

late gadolinium enhancement

myocarditis differentiation