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Intramyocardial haemorrhage and prognosis after ST-elevation myocardial infarction

European Heart Journal – Cardiovascular Imaging Aug 30, 2018

Reinstadler SJ, et al. - In this multicentre study, researchers compared the value of intramyocardial haemorrhage (IMH) depicted by T2* imaging vs established cardiac magnetic resonance (CMR) prognosis markers for risk stratification in ST-elevation myocardial infarction (STEMI) patients. Participants were 264 patients reperfused within 12 h after symptom onset and examined for major adverse cardiac events (MACE) at 12 months. They found an independent association of the presence of IMH with MACE after adjusting for clinical risk factors or other CMR prognosis markers. Findings suggested that, IMH assessed by T2* imaging could add to the prognostic information offered by other CMR markers of infarct severity and classical clinical risk factors. The results, thus, suggested the relevance of IMH as an important prognostic measure as well as therapeutic target when caring for patients after STEMI.
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