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Klinischer Nutzen einer Kardio-MRT-Untersuchung bei Patienten mit akutem Myokardinfarkt

Clinical benefits of cardiac MRI investigations in patients with acute myocardial infarction

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Der Kardiologe Aims and scope

Zusammenfassung

Nach der neuen, überarbeiteten Definition des akuten Myokardinfarktes sind neben der Bestimmung der kardialen Biomarker die klinische Symptomatik, EKG-Veränderungen sowie die Anwendung eines bildgebenden Verfahrens wichtig. Im Folgenden wird anhand der kardialen Magnetresonanztomographie (MRT) beschrieben, inwieweit ein Verlust von vitalem Myokard, neu aufgetretene Wandbewegungsstörungen in Ruhe oder der Nachweis einer Ischämie bzw. Differenzialdiagnosen, wie z. B. eine Myokarditis, untersucht werden können.

Abstract

The recently published third universal amended definition of myocardial infarction describes the necessity of biomarkers for the diagnosis of acute myocardial infarction. Clinical symptoms, new electrocardiogram (ECG) changes as well as cardiac imaging are other important factors. This review discusses how cardiac magnetic resonance imaging (MRI) can be used to detect and quantify viable myocardium, new onset wall motion abnormalities at rest and the detection of ischemia. In addition, the diagnostic capability of cardiac MRI for assessment of differential diagnoses of acute myocardial infarction (e.g. myocarditis) is discussed.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. A. Doltra, R. Gebker und S. Kelle geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Abteilung für Innere Medizin/Kardiologie, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland

    A. Doltra, R. Gebker &  S. Kelle

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  1. A. Doltra
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  2. R. Gebker
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  3. S. Kelle
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Correspondence to S. Kelle.

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Doltra, A., Gebker, R. & Kelle, S. Klinischer Nutzen einer Kardio-MRT-Untersuchung bei Patienten mit akutem Myokardinfarkt. Kardiologe 8, 78–84 (2014). https://doi.org/10.1007/s12181-013-0546-8

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