Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Jan-Feb;49(1):26-34.
doi: 10.1590/0100-3984.2014.0055.

Cardiac magnetic resonance imaging and computed tomography in ischemic cardiomyopathy: an update

Fernanda Boldrini Assunção  1 , Diogo Costa Leandro de Oliveira  1 , Vitor Frauches Souza  2 , Marcelo Souto Nacif  3
Affiliations
Review

Cardiac magnetic resonance imaging and computed tomography in ischemic cardiomyopathy: an update

Fernanda Boldrini Assunção et al. Radiol Bras. 2016 Jan-Feb.

Abstract
in English, Portuguese

Ischemic cardiomyopathy is one of the major health problems worldwide, representing a significant part of mortality in the general population nowadays. Cardiac magnetic resonance imaging (CMRI) and cardiac computed tomography (CCT) are noninvasive imaging methods that serve as useful tools in the diagnosis of coronary artery disease and may also help in screening individuals with risk factors for developing this illness. Technological developments of CMRI and CCT have contributed to the rise of several clinical indications of these imaging methods complementarily to other investigation methods, particularly in cases where they are inconclusive. In terms of accuracy, CMRI and CCT are similar to the other imaging methods, with few absolute contraindications and minimal risks of adverse side-effects. This fact strengthens these methods as powerful and safe tools in the management of patients. The present study is aimed at describing the role played by CMRI and CCT in the diagnosis of ischemic cardiomyopathies.

A cardiomiopatia isquêmica é um dos principais problemas de saúde no mundo, representando significativa parcela da mortalidade. A ressonância magnética cardíaca (RMC) e a tomografia computadorizada cardíaca (TCC) são métodos de imagem não invasivos úteis no diagnóstico da doença arterial coronariana e também podem auxiliar no rastreamento de indivíduos com fatores de risco para o desenvolvimento de cardiomiopatia induzida por isquemia/infarto. Os avanços tecnológicos da RMC e da TCC contribuíram para o surgimento de diversas indicações clínicas para aplicação desses métodos de imagem de forma complementar a outros exames, principalmente quando estes se mostram inconclusivos. A RMC e a TCC apresentam acurácia semelhante aos demais métodos de imagem, poucas contraindicações absolutas e mínimos riscos de efeitos adversos, o que os fortalecem como ferramentas seguras no manejo dos pacientes. O presente estudo tem por objetivo descrever o papel da RMC e da TCC no diagnóstico das cardiomiopatias isquêmicas.

Keywords: Computed tomography; Heart; Ischemic cardiomyopathy; Magnetic resonance imaging.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Ventricular function evaluation. Simpson's technique (A,B) and 4D (C,D).
Figure 2
Figure 2
Evaluation of myocardial perfusion under pharmacological stress and at rest. ADCA, anterior descending coronary artery.
Figure 3
Figure 3
Evaluation of delayed myocardial enhancement. Normal study, black muscle (A). Myocardial infarction, white areas (B).
Figure 4
Figure 4
Evaluation of coronary calcium score. Left coronary trunk, green (A). Proximal third of the anterior descending coronary artery, yellow (B). Right coronary artery, red, and circumflex coronary artery, light blue (C).
Figure 5
Figure 5
Evaluation of the vessel wall and composition of atheromatous plaques with luminal reduction by calcified plaque (A,B) and by noncalcified plaque (C,D).
Figure 6
Figure 6
Evaluation of neointimal hyperplasia with intra-stent restenosis. Transversal axis (A) and longitudinal axis (B).
Figure 7
Figure 7
Evaluation of left internal mammary artery graft to anterior descending coronary artery (DA). Note the route of the graft in the mediastinum (A) and the anastomosis of the permeable graft (double asterisks) with the native anterior descending artery (single asterisk) (B).
Figure 8
Figure 8
Evaluation of vena saphena graft to right coronary artery. Note the permeable graft (double asterisks) and the anastomosis with the right coronary artery (single asterisk) (A). 3D reconstruction (B).
See this image and copyright information in PMC

References

    1. Carvalho ACC, Sousa JMA. Cardiopatia isquêmica. Rev Bras Hipertens. 2001;8:297–305.
    1. Manfroi WC, Freitas FM, Gensini G, et al. Achados hemodinâmicos e cineangiocoronariográficos em pacientes acometidos de infarto do miocárdio: estudo comparativo entre uma população de Syracuse, NY, USA, com outra de Porto Alegre, RS, Brasil. Arq Bras Cardiol. 1980;34:359–362. - PubMed
    1. Behar S, Reicher-Reiss H, Abinader E, et al. The prognostic significance of angina pectoris preceding the occurrence of a first acute myocardial infarction in 4166 consecutive hospitalized patients. Am Heart J. 1992;123:1481–1486. - PubMed
    1. Manfroi WC, Peukert C, Berti CB, et al. Infarto agudo do miocárdio. Primeira manifestação da cardiopatia isquêmica e relação com fatores de risco. Arq Bras Cardiol. 2002;78:388–391.
    1. Zaslavsky C, Gus I. Idoso. Doença cardíaca e comorbidades. Arq Bras Cardiol. 2002;79:635–639. - PubMed

LinkOut - more resources