Papillary muscle infarction and cardiovascular outcomes

Papillary muscle infarction and cardiovascular outcomes

Methods We evaluated the images of 456 consecutive patients who underwent ce-CMR for the assessment of left ventricular function and viability. PMI (both anterolateral and postero-medial papillary muscles), ICM and NICM were assessed by visual assessment by interpreters blinded to clinical data. All patients had a LVEF ≤50%. ICM and NICM were determined by presence and pattern of hyper-enhancem...

Prognostic relevance of papillary muscle infarction in reperfused infarction as visualized by cardiovascular magnetic resonance.

BACKGROUND The prognostic significance of papillary muscle infarction (PapMI) on hard clinical outcomes has not been investigated in patients with reperfused ST-segment-elevation myocardial infarction. Noninvasive investigation by gadolinium-enhanced cardiac MRI enables the detection of PapMI with high spatial resolution. The aim of our study was (1) to assess the incidence, determinants, and c...

Prognostic Relevance of Papillary Muscle Infarction in Reperfused Infarction as Visualized by Cardiovascular Magnetic Resonance Eitel et al: Prognostic Relevance of Papillary Muscle Infarction

University of Leipzig Heart Center, Department of Internal Medicine – Cardiology, Leipzig University of Ulm, Department of Internal Medicine II – Cardiology, Ulm Herzund Gefäß-Klinik Bad Neustadt, Bad Neustadt Zentralklinik Bad Berka, Bad Berka Klinikum Nürnberg, Medizinische Klinik/Kardiologie, Nürnberg University of Rostock, Department of Cardiology, Rostock Klinikum Pforzheim, Pforzheim Clin...

Papillary muscle rupture following myocardial infarction.

Papillary Muscle Rupture after Acute Myocardial Infarction

Mitral regurgitation (MR) after myocardial infarction is a relatively common complication and its incidence is about 50%. One cause of MR after myocardial infarction is papillary muscle rupture, and this situation usually requires urgent surgical treatment. Since prognosis is favorable with early surgical intervention, early diagnosis of the underlying cause of mitral regurgitation is very impo...