Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome

Chest pain is an important presenting symptom. However, few cases of chest pain are diagnosed as acute coronary syndrome (ACS) in the acute setting. This results in frequent inappropriate discharge and major delay in treatment for patients with underlying ACS. The conventional methods of assessin...

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Main Authors:	Mohd Shah, Azarisman Shah, Karen S.L., Teo, Matthew Ian, Worthley, Stephen Grant, Worthley
Format:	Article
Language:	English English English
Published:	SAGE Publications Ltd 2017
Subjects:	R Medicine (General) RC Internal medicine
Online Access:	http://irep.iium.edu.my/74071/ http://irep.iium.edu.my/74071/ http://irep.iium.edu.my/74071/ http://irep.iium.edu.my/74071/1/74071_Cardiac%20magnetic%20resonance_article.pdf http://irep.iium.edu.my/74071/2/74071_Cardiac%20magnetic%20resonance_scopus.pdf http://irep.iium.edu.my/74071/3/74071_Cardiac%20magnetic%20resonance_wos.pdf

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recordtype	eprints
spelling	iium-740712019-08-18T08:45:21Z http://irep.iium.edu.my/74071/ Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome Mohd Shah, Azarisman Shah Karen S.L., Teo Matthew Ian, Worthley Stephen Grant, Worthley R Medicine (General) RC Internal medicine Chest pain is an important presenting symptom. However, few cases of chest pain are diagnosed as acute coronary syndrome (ACS) in the acute setting. This results in frequent inappropriate discharge and major delay in treatment for patients with underlying ACS. The conventional methods of assessing ACS, which include electrocardiography and serological markers of infarct, can take time to manifest. Recent studies have investigated more sensitive and specific imaging modalities that can be used. Diastolic dysfunction occurs early following coronary artery occlusion and its detection is useful in confirming the diagnosis, risk stratification, and prognosis post-ACS. Cardiac magnetic resonance provides a single imaging modality for comprehensive evaluation of chest pain in the acute setting. In particular, cardiac magnetic resonance has many imaging techniques that assess diastolic dysfunction post-coronary artery occlusion. Techniques such as measurement of left atrial size, mitral inflow, and mitral annular and pulmonary vein flow velocities with phase-contrast imaging enable general assessment of ventricular diastolic function. More novel imaging techniques, such as T2-weighted imaging for oedema, T1 mapping, and myocardial tagging, allow early determination of regional diastolic dysfunction and oedema. These findings may correspond to specific infarcted arteries that may be used to tailor eventual percutaneous coronary artery intervention. SAGE Publications Ltd 2017-12-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/74071/1/74071_Cardiac%20magnetic%20resonance_article.pdf application/pdf en http://irep.iium.edu.my/74071/2/74071_Cardiac%20magnetic%20resonance_scopus.pdf application/pdf en http://irep.iium.edu.my/74071/3/74071_Cardiac%20magnetic%20resonance_wos.pdf Mohd Shah, Azarisman Shah and Karen S.L., Teo and Matthew Ian, Worthley and Stephen Grant, Worthley (2017) Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome. Journal of International Medical Research, 45 (6). pp. 1680-1692. ISSN 0300-0605 E-ISSN 1473-2300 https://journals.sagepub.com/doi/pdf/10.1177/0300060517698265 10.1177/0300060517698265
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	R Medicine (General) RC Internal medicine
spellingShingle	R Medicine (General) RC Internal medicine Mohd Shah, Azarisman Shah Karen S.L., Teo Matthew Ian, Worthley Stephen Grant, Worthley Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome
description	Chest pain is an important presenting symptom. However, few cases of chest pain are diagnosed as acute coronary syndrome (ACS) in the acute setting. This results in frequent inappropriate discharge and major delay in treatment for patients with underlying ACS. The conventional methods of assessing ACS, which include electrocardiography and serological markers of infarct, can take time to manifest. Recent studies have investigated more sensitive and specific imaging modalities that can be used. Diastolic dysfunction occurs early following coronary artery occlusion and its detection is useful in confirming the diagnosis, risk stratification, and prognosis post-ACS. Cardiac magnetic resonance provides a single imaging modality for comprehensive evaluation of chest pain in the acute setting. In particular, cardiac magnetic resonance has many imaging techniques that assess diastolic dysfunction post-coronary artery occlusion. Techniques such as measurement of left atrial size, mitral inflow, and mitral annular and pulmonary vein flow velocities with phase-contrast imaging enable general assessment of ventricular diastolic function. More novel imaging techniques, such as T2-weighted imaging for oedema, T1 mapping, and myocardial tagging, allow early determination of regional diastolic dysfunction and oedema. These findings may correspond to specific infarcted arteries that may be used to tailor eventual percutaneous coronary artery intervention.
format	Article
author	Mohd Shah, Azarisman Shah Karen S.L., Teo Matthew Ian, Worthley Stephen Grant, Worthley
author_facet	Mohd Shah, Azarisman Shah Karen S.L., Teo Matthew Ian, Worthley Stephen Grant, Worthley
author_sort	Mohd Shah, Azarisman Shah
title	Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome
title_short	Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome
title_full	Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome
title_fullStr	Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome
title_full_unstemmed	Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome
title_sort	cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome
publisher	SAGE Publications Ltd
publishDate	2017
url	http://irep.iium.edu.my/74071/ http://irep.iium.edu.my/74071/ http://irep.iium.edu.my/74071/ http://irep.iium.edu.my/74071/1/74071_Cardiac%20magnetic%20resonance_article.pdf http://irep.iium.edu.my/74071/2/74071_Cardiac%20magnetic%20resonance_scopus.pdf http://irep.iium.edu.my/74071/3/74071_Cardiac%20magnetic%20resonance_wos.pdf
first_indexed	2023-09-18T21:44:57Z
last_indexed	2023-09-18T21:44:57Z
_version_	1777413387523719168

Cardiac magnetic resonance assessment of diastolic dysfunction in acute coronary syndrome

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