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Predictive value of MRI for cardiac function improvement after intervention in acute myocardial infarction patients
WANG Jiali  KONG Ying  SUN Xiaoling  ZHANG Chao  ZHANG Min  XU Kai 

Cite this article as: Wang JL, Kong Y, Sun XL, et al. Predictive value of MRI for cardiac function improvement after intervention in acute myocardial infarction patients[J]. Chin J Magn Reson Imaging, 2022, 13(2): 87-90. DOI:10.12015/issn.1674-8034.2022.02.018.


[Abstract] Objective To investigate the prognostic value of cardiac magnetic resonance multiparameter in patients with acute ST segment elevation myocardial infarction (STEMI) underwent primary percutaneous coronary intervention (PCI).Materials and Methods STEMI patients who underwent emergency PCI in the Affiliated Hospital of Xuzhou Medical University from Sep 2019 to Mar 2021 were retrospective analyzed, and CMR examination was performed within 1 week after surgery, 52 patients with left ventricular ejection fraction (LVEF)＜50% were selected. The 52 patients underwent CMR examination again 3-4 months after PCI, and were divided into LVEF＜50% group and LVEF≥50% group according to follow-up LVEF. Clinical data and all CMR parameters (LVEF, myocardial infarction size, transmurality, microcirculation obstruction) were compared between the two groups, and Logistic regression model was used to analyze the predictive value of CMR parameters on cardiac function recovery after PCI in acute STEM patients.Results In this study, 50% of the patients with cardiac dysfunction after STEMI emergency PCI recovered short-term cardiac function. In LVEF＜50% group, the level of hypersensitive troponin T level and creatine kinase within 48 hours after PCI, infarct size, transmurality and microvascular obstruction (MVO) in the baseline CMR were all higher than those in LVEF≥50% group. P values were all＜0.05. Logistic regression analysis showed that age≥60 (P=0.017, OR=7.053, 95% CI: 1.413-35.211) and transmural myocardial infarction (P=0.040, OR=5.913, 95% CI: 1.065-32.835) were independent factors for predicting poor cardiac function recovery.Conclusions The elderly and acute transmural myocardial infarction are independent predictors of poor short-term cardiac function recovery in STEMI patients with cardiac dysfunction after PCI.
[Keywords] myocardial infarction；percutaneous coronary intervention；cardiac magnetic resonance；cardiac function recovery

WANG Jiali1   KONG Ying1   SUN Xiaoling1   ZHANG Chao1   ZHANG Min2   XU Kai1*  

1 Department of Radiology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China

2 Department of Cardiology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China

Xu K, E-mail: xkpaper@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS China International Medical Foundation SKY Imaging Research Fund (No. Z-2014-07-1912-24).
Received  2021-10-14
Accepted  2022-01-24
DOI: 10.12015/issn.1674-8034.2022.02.018
Cite this article as: Wang JL, Kong Y, Sun XL, et al. Predictive value of MRI for cardiac function improvement after intervention in acute myocardial infarction patients[J]. Chin J Magn Reson Imaging, 2022, 13(2): 87-90. DOI:10.12015/issn.1674-8034.2022.02.018.

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