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Sökning: WFRF:(Johansson Per Olov) > Unrecognized myocar...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004951naa a2200529 4500
001oai:DiVA.org:oru-49862
003SwePub
008160418s2015 | |||||||||||000 ||eng|
009oai:DiVA.org:uu-267878
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-498622 URI
0247 a https://doi.org/10.1186/s12968-015-0202-52 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2678782 URI
040 a (SwePub)orud (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Hammar, Peru Uppsala universitet,Radiologi4 aut0 (Swepub:uu)perha224
2451 0a Unrecognized myocardial infarctions assessed by cardiovascular magnetic resonance are associated with the severity of the stenosis in the supplying coronary artery
264 c 2015-11-19
264 1b BioMed Central,c 2015
338 a print2 rdacarrier
520 a Background: A previous study has shown an increased prevalence of late gadolinium enhancement cardiovascular magnetic resonance (LGE CMR) detected unrecognized myocardial infarction (UMI) with increasing extent and severity of coronary artery disease. However, the coronary artery disease was evaluated on a patient level assuming normal coronary anatomy. Therefore, the aims of the present study were to investigate the prevalence of UMI identified by LGE CMR imaging in patients with stable angina pectoris and no known previous myocardial infarction; and to investigate whether presence of UMI is associated with stenotic lesions in the coronary artery supplying the segment of the myocardium in which the UMI is located, using coronary angiography to determine the individual coronary anatomy in each patient.Methods: In this prospective multicenter study, we included patients with stable angina pectoris and without prior myocardial infarction, scheduled for coronary angiography. A LGE CMR examination was performed prior to the coronary angiography. The study cohort consisted of 235 patients (80 women, 155 men) with a mean age of 64.8 years.Results: UMIs were found in 25 % of patients. There was a strong association between stenotic lesions (>= 70 % stenosis) in a coronary artery and the presence of an UMI in the myocardial segments supplied by the stenotic artery; it was significantly more likely to have an UMI downstream a stenosis >= 70 % as compared to <70 % (OR 5.1, CI 3.1-8.3, p < 0.0001). 56 % of the UMIs were located in the inferior and infero-lateral myocardial segments, despite predominance for stenotic lesions in the left anterior descending artery.Conclusion: UMI is common in patients with stable angina and the results indicate that the majority of the UMIs are of ischemic origin due to severe coronary atherosclerosis. In contrast to what is seen in recognized myocardial infarctions, UMIs are predominately located in the inferior and infero-lateral myocardial segments.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Allmänmedicin0 (SwePub)302242 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex General Practice0 (SwePub)302242 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
653 a Angiography
653 a Coronary disease
653 a Imaging
653 a Infarction
653 a Cardiovascular magnetic resonance
7001 a Nordenskjöld, Anna M.,d 1977-u Region Örebro län,Department of Cardiology, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)aand
7001 a Lindahl, Bertilu Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)4 aut0 (Swepub:uu)belin227
7001 a Duvernoy, Olovu Uppsala universitet,Radiologi4 aut0 (Swepub:uu)olovdn
7001 a Ahlström, Håkanu Uppsala universitet,Radiologi4 aut0 (Swepub:uu)hakanahl
7001 a Johansson, Larsu Uppsala universitet,Radiologi4 aut0 (Swepub:uu)larsjoha
7001 a Hadziosmanovic, Nerminu Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)4 aut0 (Swepub:uu)nerha973
7001 a Bjerner, Tomasu Uppsala universitet,Radiologi4 aut0 (Swepub:uu)tomasbje
7102 a Uppsala universitetb Radiologi4 org
7730 t Journal of Cardiovascular Magnetic Resonanced : BioMed Centralg 17q 17x 1097-6647x 1532-429X
8564 u https://doi.org/10.1186/s12968-015-0202-5y Fulltext
8564 u https://jcmr-online.biomedcentral.com/track/pdf/10.1186/s12968-015-0202-5
8564 u https://uu.diva-portal.org/smash/get/diva2:874742/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-49862
8564 8u https://doi.org/10.1186/s12968-015-0202-5
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-267878

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