Troponin positive patients with unobstructed coronaries: Incremental value of Cardiovascular Magnetic Resonance over expert clinical judgment

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The role of cardiovascular magnetic resonance in patients presenting with chest pain, raised troponin, and unobstructed coronary arteries.

AIMS Troponin measurement is used in the assessment and risk stratification of patients presenting acutely with chest pain when the main cause of elevation is coronary artery disease. However, some patients have no coronary obstruction on angiography, leading to diagnostic uncertainty. We evaluated the incremental diagnostic value of cardiovascular magnetic resonance (CMR) in these patients. ...

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Impact of cardiovascular magnetic resonance on management and clinical decision-making in patients presenting with chest pain, elevated troponin and unobstructed coronary artery

Background Management of patients presenting with chest pain, elevated troponin and unobstructed coronary artery is challenging. Cardiovascular magnetic resonance (CMR) can provide important diagnostic and prognostic information in this cohort. However, the evidence of impact of CMR on clinical management is lacking. We sought to evaluate the impact of CMR on diagnosis and clinical management i...

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clinical applications of cardiovascular magnetic resonance methods

the application of magnetic resonance to diagnostic medical imaging stands as one of the great scientific achievements in the past 50 years. magnetic resonance techniques are easily applied to organs which remain stationary during the imaging procedure, such as the brain and musculoskeletal system. imaging of moving heart structures and circulating blood is considerably more difficult.   clinic...

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Rate of acute myocardial infarction in patients with troponin-positive chest pain and unobstructed coronary arteries

Background Many patients with troponin-positive chest pain are initially diagnosed with acute myocardial infarction (AMI), but are later found to have nonobstructive coronary artery disease (CAD) by x-ray angiography. CMR may be useful in this diagnostically challenging cohort; the presence and/or pattern of myocardial necrosis identified by CMR may allow differentiation between diverse etiolog...

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ژورنال

عنوان ژورنال: Heart, Lung and Circulation

سال: 2015

ISSN: 1443-9506

DOI: 10.1016/j.hlc.2015.06.142