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Abstract:

For long time the only method of postinfarction myocardial «scars» topical diagnostics was ECG. Contrast-enhanced magnetic resonance (CE-CMR) is considered to be a highly informative technique for location and quantification of myocardial necrotic areas, but there are few studies comparing the method with conventional ECG. CE-MR/ECG correlation was studied in 59 patients with postinfarction changes. The global concordance between CE-MR and ECG was of 80%. In 5 cases (1 - anterolateral, 2 - inferior and 2 - inferolateral). ECG-pattern was misleading.

 

    References 

1.      Myers G.B. et al. Correlation of electrocardio-graphic and pathologic findings in anteroseptal infarction. Am. Heart. J. 1948; 36:5535-5575.

2.      Myers G., Howard A.K., Stofer B.E. Correlation of electrocardiographic and pathologic findings in lateral infarction. Am. Heart. J.1948; 37: 374-417.

3.      Myers G., Howard A.K., Stofer B.E. Correlation of electrocardiographic and pathologic findings in posterior infarction. Am. Heart. J.1948; 38: 547-582.

4.      Руда М.Я., Зыско А.П.. Инфаркт миокарда. М.: Медицина. 1981.

5.      Shalev Y. et al. Does the electrocardiographic pattern of «Anteroseptal» myocardial infarction correlate with the anatomic location of myocardial injury? Am. J. Cardiol .1995; 75: 763-766.

6.      Shen W., Tribouilloy C., Lesbre J.P. Relationship between electrocardiographic patterns and angiographic features in isolated left circumflex coronary artery disease. Clin. Cardiol. 1991; 14: 720-724.

7.      Gallik D.M. et al. Simultaneous assessment of muocardial perfusion and left ventricular dysfunction during transient coronary occlusion. J. Am. Coll. Cardiol. 1995; 25:.1529-1538.

8.      Zafrir B. et al. Correlation between ST elevation and Q waves on the predischarge electro cardiogram and the extent and location of MIBI perfusion defects in anterior myocardial infarction. Ann. Noninvasive Electrocardiol. 2004; 9: 101-112.

9.      Wu E. et al. Vusualization of presence, location, and transmural extent of healed Q-wave and non-Q-wave myocardial infarction. Lancet. 2001; 357: 21--28.

10.   Moon J.C. et al. The pathological basis of Q-wave and non-Q-wave myocardial infarction: a cardiovascular magnetic resonance study. J. Am. Coll. Cardiol. 2004; 44: 554-560.

11.   Simonetti O.P. et al. An improved MR imaging technique for the visualization of myocardial infarction. Radiology. 2001; 218: 215-223.

12.   Cerqueira M.D. et al. Standardized myocardi-al segmentation and nomenclature for tomo-graphic imaging of the heart: a statement for healthcare professionals. Circulation. 2002; 105: 539-542.

13.   Kannel W.B., Abbot R.D. Incidence, precursors and prognosis of unrecognized myocardial infarction (Framingham Study). Adv. Car-diol. 1990; 37: 202-214.

14.   Sheifer S.E., Manolio T.A., Gersh B.J. Unrecognized myocardial infarction. Ann. Intern. Med. 2001; 135:. 801-811.

15 .  Беленков Ю.Н., Терновой С.К. Функциональные методы диагностики сердечно-сосудистых заболеваний. М.: «ГЭОТАР-МЕДИА». 2007.

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