Chest pain MRI: Difference between revisions

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{{Chest pain}}
{{Chest pain}}
{{CMG}}{{AE}}{{Aisha}}
{{CMG}}{{AE}} {{Sara.Zand}} {{Aisha}}
==Overview==
==Overview==
To rule out [[aortic dissection]], a chest [[CT]] scan with contrast, [[MRI]] or transesophageal echocardiography may be done.
[[Cardiovascular magnetic resonance imaging]] ([[CMR]]) is helpful to  accurately determin global  and  regional left  and  [[right ventricular]]  function, localized [[myocardial ischemia]]  and  [[infarction]], and  detection of  [[myocardial  viability]]. [[Myocardial  edema]] and [[microvascular  obstruction]] can be determined by [[CMR]] to differentiate acute versus chronic [[MI]], as well as other causes  of  acute  [[chest  pain]], including  [[myocarditis]].


==MRI==
==MRI==


To rule out [[aortic dissection]], a chest [[CT]] scan with contrast, [[MRI]] or transesophageal echocardiography may be done.
* [[Cardiac magnetic resonance]] ([[CMR]]) imaging is helpful to accurately assess the following:
 
*: Global  and  regional [[left ventricular]], and  [[right ventricular]]  function
*
*: Localization of [[myocardial ischemia]] and [[infarction]]
*:  Determination of [[myocardial  viability]].  
*: [[myocardial  edema]] in [[myocarditis]]
*: Evidence of [[microvascular obstruction]] in [[CAD]]<ref name="pmid34709879">{{cite journal |vauthors=Gulati M, Levy PD, Mukherjee D, Amsterdam E, Bhatt DL, Birtcher KK, Blankstein R, Boyd J, Bullock-Palmer RP, Conejo T, Diercks DB, Gentile F, Greenwood JP, Hess EP, Hollenberg SM, Jaber WA, Jneid H, Joglar JA, Morrow DA, O'Connor RE, Ross MA, Shaw LJ |title=2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines |journal=Circulation |volume=144 |issue=22 |pages=e368–e454 |date=November 2021 |pmid=34709879 |doi=10.1161/CIR.0000000000001029 |url=}}</ref>


==References==
==References==

Latest revision as of 13:33, 12 March 2022

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Aisha Adigun, B.Sc., M.D.[3]

Overview

Cardiovascular magnetic resonance imaging (CMR) is helpful to accurately determin global and regional left and right ventricular function, localized myocardial ischemia and infarction, and detection of myocardial viability. Myocardial edema and microvascular obstruction can be determined by CMR to differentiate acute versus chronic MI, as well as other causes of acute chest pain, including myocarditis.

MRI

References

  1. Gulati M, Levy PD, Mukherjee D, Amsterdam E, Bhatt DL, Birtcher KK, Blankstein R, Boyd J, Bullock-Palmer RP, Conejo T, Diercks DB, Gentile F, Greenwood JP, Hess EP, Hollenberg SM, Jaber WA, Jneid H, Joglar JA, Morrow DA, O'Connor RE, Ross MA, Shaw LJ (November 2021). "2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines". Circulation. 144 (22): e368–e454. doi:10.1161/CIR.0000000000001029. PMID 34709879 Check |pmid= value (help).