scholarly journals Cardiovascular Magnetic Resonance in Ischemic Heart Disease

2021 ◽  
Vol 3 (4) ◽  
pp. 11-12
Author(s):  
Sohail Iqbal

Ischemic heart disease is one of the leading causes of death and disability, limiting individual’s quality of life. Cardiac magnetic resonance is radiation-free tool to image IHD patients and can depict inducible ischemia, extent and distribution of scar burden, associated complications like mitral regurgitation, thrombus, aneurysm formation, myocardial rupture, and any other incidental pathology. With increasing availability of the CMR there is an ever increasing need to interpret these images by non-imaging clinicians in order to manage patients more effectively. In this article, image interpretation for detection of ischemia, infarct and thrombus are discussed in simple easy to understand manner leaving behind intricate technical details which are of less important to the referring physicians.

2021 ◽  
Vol 5 (1) ◽  
pp. 1195-1201
Author(s):  
O. Kiziukevich ◽  
◽  
S. Spiridonov ◽  
A. Zhyhalkovich ◽  
D. Isachkin ◽  
...  

Today diseases of the cardiovascular system are the leading cause of death in many countries. The key role in this pathology is played by ischemic heart disease. An extreme manifestation of ischemic heart disease - myocardial infarction is one of the main causes of complications and mortality in patients with ischemic heart disease. One of the most formidable complications of acute myocardial infarction is heart rupture, which most often leads to death, more than 60% of cases occurring in the prehospital stage. Many studies of similar groups of patients show a wide spread in assessing the incidence and mortality of this pathology. The development of myocardial ruptures has two frequency peaks: the first day and 5-7 days from the onset of AMI. The most common case is acute rupture of the free wall of the left ventricle with extensive hemorrhage in the pericardium leading to a fulminant death. The development of a pseudoaneurysm of the left ventricle is a very rare outcome of the myocardial rupture. There are no convincing data on the incidence of pseudoaneurysms as a result of myocardial infarction (according to many authors, it is less than 0.5% of all cases of myocardial infarction). This type of rupture is most favorable in terms of the possibility of providing assistance. The complexity of providing care to patients with pseudoaneurysms of the left ventricle lies in their low frequency of occurrence and often asymptomatic nature of the course, which complicates the diagnosis of this pathology. Timely diagnosis plays a key role in avoiding a fatal outcome, since the vast majority of pseudoaneurysms are extremely unstable and, except occasional cases, require urgent surgical intervention. This article describes a clinical case of a patient who underwent surgical treatment for pseudoaneurysm of the free wall of the left ventricle as a result of myocardial infarction. The article also presents a brief literature review of the available isolated data on risk factors for myocardial rupture, methods of diagnosis and treatment of this pathology.


2018 ◽  
Vol 19 (1) ◽  
pp. 1-10
Author(s):  
Moram A. Fagiry ◽  
Ikhlas A. Hassan ◽  
Ahmed Abukonna ◽  
Mohamed Yousef ◽  
Batil Alonazi ◽  
...  

2018 ◽  
Vol 60 (6) ◽  
pp. 493-495
Author(s):  
A. Esteban Fernández ◽  
I. Coma-Canella ◽  
G. Bastarrika ◽  
J. Barba-Cosials ◽  
P.M. Azcárate-Agüero

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