CARDIAC MRI IN EVALUATION POSTINFARCTION CHANGES AND ITS ROLE IN DETERMINING THE REVASCULARIZATION TACTICS
https://doi.org/10.17802/2306-1278-2014-3-97-102
Abstract
The article provides a review of data on the use of cardiac magnetic resonance imaging (CMRI) of the heart with contrast enhancement in the determination of structural and functional changes in the myocardium before revascularization procedures in patients after infarct. The possibility of using the results of MRI in the assessment of the depth and extent of postinfarction cardiosclerosis forecast for recovery of regional and global left ventricular contractility after restoration of coronary blood flow. Determine the value of late enhancement contrast to address the appropriateness of revascularization procedures. Absence or presence of scarring lesions and more than half of the crosssectional wall of left ventricular can be used as a criterion for determining the need for intervention, without exposure to the patient load tests. The article presents a version of the algorithm selection of patients for endovascular intervention or coronary artery bypass surgery by using СMRI data from the position the forecast recovery of contractile function of the myocardium.
About the Authors
А. N. Kokov
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo
Russian Federation
Russian Federation
V. L. Masenko
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo
Russian Federation
Russian Federation
S. E. Semenov
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo
Russian Federation
Russian Federation
Dr. Med. Sci.
head of department of cardiovascular diseases diagnostics
Correspondence address:
6, Sosnoviy blvd. Kemerovo, 650002. Tel. +7 (3842) 64-45-88
O. L. Barbarash
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases under the Siberian Branch of the Russian Academy of Medical Sciences, Kemerovo
Russian Federation
Russian Federation
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Review
For citations:
Kokov А.N., Masenko V.L., Semenov S.E., Barbarash O.L. CARDIAC MRI IN EVALUATION POSTINFARCTION CHANGES AND ITS ROLE IN DETERMINING THE REVASCULARIZATION TACTICS. Complex Issues of Cardiovascular Diseases. 2014;(3):97-102. (In Russ.) https://doi.org/10.17802/2306-1278-2014-3-97-102
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