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Journal of Cardiovascular Magnetic Resonance

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Open Access 01-12-2011 | Review

T2-weighted cardiovascular magnetic resonance in acute cardiac disease

Authors: Ingo Eitel, Matthias G Friedrich

Published in: Journal of Cardiovascular Magnetic Resonance | Issue 1/2011

Abstract

Cardiovascular magnetic resonance (CMR) using T2-weighted sequences can visualize myocardial edema. When compared to previous protocols, newer pulse sequences with substantially improved image quality have increased its clinical utility. The assessment of myocardial edema provides useful incremental diagnostic and prognostic information in a variety of clinical settings associated with acute myocardial injury. In patients with acute chest pain, T2-weighted CMR is able to identify acute or recent myocardial ischemic injury and has been employed to distinguish acute coronary syndrome (ACS) from non-ACS as well as acute from chronic myocardial infarction.

T2-weighted CMR can also be used to determine the area at risk in reperfused and non-reperfused infarction. When combined with contrast-enhanced imaging, the salvaged area and thus the success of early coronary revascularization can be quantified. Strong evidence for the prognostic value of myocardial salvage has enabled its use as a primary endpoint in clinical trials. The present article reviews the current evidence and clinical applications for T2-weighted CMR in acute cardiac disease and gives an outlook on future developments.

"The principle of all things is water"

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Title: T2-weighted cardiovascular magnetic resonance in acute cardiac disease
Authors: Ingo Eitel
Matthias G Friedrich
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: Journal of Cardiovascular Magnetic Resonance / Issue 1/2011
Electronic ISSN: 1532-429X
DOI: https://doi.org/10.1186/1532-429X-13-13

At a glance: The STEP trials

Springer Medicine

T2-weighted cardiovascular magnetic resonance in acute cardiac disease

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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