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153788

Role of Cardiac Magnetic Resonance (CMR) Imaging inthe Assessment of Wall Motion Abnormalities in MyocardialInfarction Patients

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Last updated: 22 Jan 2023

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Abstract

AbstractBackground: Subtle changes in left ventricular wall motionpatterns have diagnostic and prognostic values in patientswith Coronary Artery Disease (CAD).Aim of Study: The aim of this studywasto highlightthediagnostic role of Cardiac Magnetic Resonance imaging (CMR) in assessment of the myocardial wall motion abnor-malities in Myocardial Infarction (MI) patients.Material and Methods: This retrospective research wasperformed in 50 patients classified into two groups: Group 1(25 patients with Acute Myocardial Infarction (AMI) (23males and 2 females) and group 2 (25 patients with ChronicMyocardial Infarction (CMI) (22 males and 3 females). Bothclasses were diagnosed based on medical, echocardiography,and other approaches of cardiologist investigation. The meanage was 52.16±6.884 years for group 1 and 51.04±12.341years in group 2. All patients underwent CMR evaluationusing Cine Steady State Free Precession (SSFP) in short axisand 4 chamber views.Results: Hypokinesia was the most commonly observedwall motion abnormality among the study groups. It was seen in 13 (52%) patients in group 1 and the same in group 2. Akinesia was seen in 12 (48%) patients in group 1 and 10(48%) patients in group 2 and dyskinesia was observed in 2 (8%) patients in group 2 and not observed in group 1.Conclusion: Identification of wall motion abnormalitiesin MI patients may help to identify higher risk patients thatwould benefit from an earlier invasive strategy. We concludethat CMR detected the wall motion abnormality precisely andshould be added to the routine investigation of MI patientsfor better evaluation and assessment.

DOI

10.21608/mjcu.2021.153788

Keywords

CMR, WMA, heart

Authors

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MAGDY M. ELRAKHAWY, M.D.;

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MONA K.E. SALAMA NASSAR, M.Sc.

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NEHAD M.S. FOUDA, M.D.;

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SHADY H. MOHAMED, M.D.

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AHMED M.

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ABD EL KHALEK, M.D.

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Affiliation

The Department of Diagnostic & Interventional Radiology, Faculty of Medicine, Mansoura University* andCardiology Unit, Mansoura University Specialized Internal Medical Hospital**, Mansoura, Egypt

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Volume

89

Article Issue

March

Related Issue

22429

Issue Date

2021-03-01

Receive Date

2020-12-05

Publish Date

2021-03-01

Page Start

195

Page End

198

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_153788.html

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https://mjcu.journals.ekb.eg/service?article_code=153788

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Journal

Publication Title

The Medical Journal of Cairo University

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https://mjcu.journals.ekb.eg/

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Created At

22 Jan 2023