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Cardiovascular magnetic resonance (CMR) imaging is a recognized technique for characterization of myocardial tissue in stable ischemic heart disease. In addition, CMR is emerging as a noninvasive imaging tool that can provide supporting information to guide treatment in acute coronary syndromes (ACSs). The advantages of using CMR acutely could potentially include triage/differential diagnosis in patients presenting with chest pain and troponin rise but without diagnostic electrocardiogram changes, assessment of severity of myocardial injury (irreversible vs reversible damage) in patients with ST-elevation myocardial infarction and non-ST-elevation myocardial infarction, and risk stratification and assessment of prognosis in patients with ACS. This review evaluates a potential clinical role of CMR in the acute setting, highlighting its advantages and limitations. This critical approach emphasizes areas of uncertainty and ongoing controversies but aims to equip the reader to evaluate the potential clinical application and the practicalities of CMR in patients presenting with ACS.

Original publication

DOI

10.1016/j.pcad.2011.09.001

Type

Journal article

Journal

Prog Cardiovasc Dis

Publication Date

11/2011

Volume

54

Pages

230 - 239

Keywords

Acute Coronary Syndrome, Humans, Magnetic Resonance Imaging, Myocardial Infarction, Myocardium, Predictive Value of Tests, Prognosis, Risk Assessment, Risk Factors, Severity of Illness Index