The Role of Cardiac Magnetic Resonance in Myocardial Infarction and Non-obstructive Coronary Arteries

Frontiers in Cardiovascular Medicine

Cardiovascular Medicine

Kate Liang¹  Chiara Bucciarelli-Ducci²  Domenico D'Amario³  Rocco Antonio Montone³  Marco Giuseppe Del Buono⁴  Eleni Nakou⁵ 

[1] Department of Cardiology, Bristol Heart Institute, University Hospitals Bristol and Weston NHS Trust, Bristol, United Kingdom;Bristol Medical School, Translational Health Sciences, University of Bristol, Bristol, United Kingdom;Department of Cardiology, Bristol Heart Institute, University Hospitals Bristol and Weston NHS Trust, Bristol, United Kingdom;Royal Brompton and Harefield Hospitals, Guys' and St Thomas Hospitals NHS Trust, London, United Kingdom;Faculty of Life Sciences and Medicine, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom;Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy;Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy;Department of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy;Royal Brompton and Harefield Hospitals, Guys' and St Thomas Hospitals NHS Trust, London, United Kingdom;

关键词: MINOCA;    myocardial injury;    myocardial ischemia;    non-obstructive coronary arteries;    cardiac MRI;    myocarditis;    Takotsubo syndrome;   

DOI  :  10.3389/fcvm.2021.821067

 received in 2021-11-23, accepted in 2021-12-27,  发布年份 2022

来源: Frontiers

【 摘 要 】

Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) accounts for 5–15% of all presentations of acute myocardial infarction. The absence of obstructive coronary disease may present a diagnostic dilemma and identifying the underlying etiology ensures appropriate management improving clinical outcomes. Cardiac magnetic resonance (CMR) imaging is a valuable, non-invasive diagnostic tool that can aide clinicians to build a differential diagnosis in patients with MINOCA, as well as identifying non-ischemic etiologies of myocardial injury (acute myocarditis, Takotsubo Syndrome, and other conditions). The role of CMR in suspected MINOCA is increasingly recognized as emphasized in both European and American clinical guidelines. In this paper we review the indications for CMR, the clinical value in the differential diagnosis of patients with suspected MINOCA, as well as its current limitations and future perspectives.

【 授权许可】

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Copyright © 2022 Liang, Nakou, Del Buono, Montone, D'Amario and Bucciarelli-Ducci.