Magnetic resonance imaging of the microcirculation in acute coronary syndromes

Kalpa De Silva*, James Baker, Ananth Kidambi, Divaka Perera, Sven Plein

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Microvascular damage is frequently observed in the setting of acute coronary syndromes (ACS). Imaging of the microcirculation is playing an increasingly important role in the risk stratification of patients presenting with acute coronary syndromes, furthering our understanding about coronary microcirculatory patho-physiology in this setting. Of the available imaging methods, cardiac magnetic resonance (CMR) holds particular promise for in vivo detection and assessment of microvascular dysfunction. The CMR methods currently available are described in this review with an overview of how CMR may be used to improve our understanding of microvascular damage in ACS and allow the development of potential cardio-protective measures.

Original languageEnglish
Pages (from-to)15-19
Number of pages5
JournalHeart and Metabolism
Issue number54
Publication statusPublished - 2012

Keywords

  • Acute coronary syndrome
  • Magnetic resonance imaging (MRI)
  • Microvascular dysfunction
  • Myocardial infarction

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