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Contrast-enhanced cardiovascular magnetic resonance in the hyperacute phase of ST-elevation myocardial infarction

  • Eric Larose
  • Julie Côté
  • Josep Rodés-Cabau
  • Bernard Noël
  • Gerald Barbeau
  • Edith Bordeleau
  • Santiago Miró
  • Bernard Brochu
  • Robert Delarochellière
  • Olivier F. Bertrand
Original paper

Abstract

Cardiovascular magnetic resonance (CMR) very early after primary percutaneous coronary intervention (PPCI) may lead to instability or early stent complications. However, CMR in the hyperacute phase of STEMI may improve risk stratification. We investigated feasibility and safety of CMR in the hyperacute phase of STEMI immediately after PPCI. One hundred and twenty eight consecutive patients immediately after PPCI for STEMI. Sixty four underwent CMR <12 h after PPCI versus 64 matched controls. Outcomes were followed over 6 months. CMR in hyperacute STEMI was not associated with in-hospital death, infarct expansion, or urgent revascularization (P = NS). CMR (32 ml gadolinium contrast) immediately after PPCI (180 ml iodine contrast) did not increase nephropathy. CMR did not increase major adverse cardiac events (5 vs. 8%, P = 0.16) or recurrence of angina (6 vs. 8%, P = 0.73) at 6 months. CMR immediately after PPCI is feasible and safe, allowing very early risk stratification in STEMI.

Keywords

Acute myocardial infarction Magnetic resonance imaging Primary coronary angioplasty Contrast nephropathy Safety 

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Copyright information

© Springer Science+Business Media, B.V. 2009

Authors and Affiliations

  • Eric Larose
    • 1
  • Julie Côté
    • 1
  • Josep Rodés-Cabau
    • 1
  • Bernard Noël
    • 1
  • Gerald Barbeau
    • 1
  • Edith Bordeleau
    • 2
  • Santiago Miró
    • 2
  • Bernard Brochu
    • 2
  • Robert Delarochellière
    • 1
  • Olivier F. Bertrand
    • 1
  1. 1.Département multidisciplinaire de cardiologieInstitut universitaire de cardiologie et de pneumologie de Québec and Faculté de médecine de l’Université LavalQuebecCanada
  2. 2.Département d’imagerie médicaleInstitut universitaire de cardiologie et de pneumologie de Québec and Faculté de médecine de l’Université LavalQuebecCanada

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