The role of cardiac magnetic resonance imaging (cardiovascular magnetic resonance) in defining the prognosis of patients with acute ST-segment elevation myocardial infarction. Part 1. Indications and contraindications to cardiovascular magnetic resonance

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Abstract

Recently, the role of cardiac magnetic resonance imaging (cardiovascular magnetic resonance) in the diagnosis of coronary artery disease and acute myocardial infarction has increased significantly. This method is defined as the “gold standard” for differentiation between ischemic vs non-ischemic and acute vs chronic myocardial injury. This part of the review summarizes the main methods of cardiovascular magnetic resonance, its safety, indications and contraindications.

About the authors

Mariya A. Terenicheva

Myasnikov Institute of Clinical Cardiology, National Medical Research Center of Cardiology

Author for correspondence.
Email: starcad@bk.ru
ORCID iD: 0000-0002-6064-4663

аспирантка отд. неотложной кардиологии, врач-кардиолог палаты реанимации и интенсивной терапии 1-го кардиологического отд-ния ИКК

Russian Federation, Moscow

Olga V. Stukalova

Myasnikov Institute of Clinical Cardiology, National Medical Research Center of Cardiology

Email: olgastukalova@mail.ru
ORCID iD: 0000-0001-8377-2388

к.м.н., ст. науч. сотр. отд. томографии

Russian Federation, Moscow

Roman M. Shakhnovich

Myasnikov Institute of Clinical Cardiology, National Medical Research Center of Cardiology

Email: shakhnovich@mail.ru
ORCID iD: 0000-0003-3248-0224

д.м.н., вед. науч. сотр. отд. неотложной кардиологии

Russian Federation, Moscow

Sergey K. Ternovoy

Myasnikov Institute of Clinical Cardiology, National Medical Research Center of Cardiology; Sechenov First Moscow State Medical University (Sechenov University)

Email: prof_ternovoy@list.ru
ORCID iD: 0000-0003-4374-1063

акад. РАН, д.м.н., проф., гл. науч. сотр. отд. томографии, ИКК им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии», зав. каф. лучевой диагностики и лучевой терапии ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова»

Russian Federation, Moscow

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Supplementary files

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2. Fig. 1. Main indications for cardiac MRI [5, 6]

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3. Fig. 2. Movie-MRI: a - 2-chamber LV long axis; b - 2-chamber short LV axis

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4. Fig. 3. Myocardial edema on T2-weighted images: a - 2-chamber long LV axis, b - 2-chamber LV short axis

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5. Fig. 4. MRI with delayed contrast enhancement: a - 2-chamber LV long axis; b - 2-chamber short LV axis. The area of contrast agent accumulation looks bright, the low-intensity area inside the accumulation area (indicated by the arrow) is the site of intravascular obstruction

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6. Fig. 5. Tissue analysis of images in the phase of delayed contrasting (a) and on T2-VI (b)

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