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Sustained postinfarction myocardial oedema in humans visualised by magnetic resonance imaging

OBJECTIVE To demonstrate postinfarction myocardial oedema in humans with particular reference to the longitudinal course, using magnetic resonance imaging (MRI). DESIGN Prospective observational study. Subjects were studied one week, one month, three months, six months, and one year after presenting... Full description

Journal Title: British heart journal 2001-06, Vol.85 (6), p.639-642
Main Author: Nilsson, J C
Other Authors: Nielsen, G , Groenning, B A , Fritz-Hansen, T , Sondergaard, L , Jensen, G B , Larsson, H B W
Format: Electronic Article Electronic Article
Language: English
Subjects:
Abridged Index Medicus
Aged
Agreements
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular Medicine
Causes of
Confidence intervals
Coronary heart disease
Edema
Edema, Cardiac - diagnosis
Edema, Cardiac - etiology
Electrocardiography
Female
Follow-Up Studies
Heart
Heart attack
Heart attacks
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
myocardial infarction
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
myocardial oedema
NMR
Nuclear magnetic resonance
Patients
Physiological aspects
Prospective Studies
Studies
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd and British Cardiovascular Society
ID: ISSN: 1355-6037
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recordid: cdi_istex_primary_ark_67375_NVC_K60DT0X6_N
title: Sustained postinfarction myocardial oedema in humans visualised by magnetic resonance imaging
format: Article
creator:
  • Nilsson, J C
  • Nielsen, G
  • Groenning, B A
  • Fritz-Hansen, T
  • Sondergaard, L
  • Jensen, G B
  • Larsson, H B W
subjects:
  • Abridged Index Medicus
  • Aged
  • Agreements
  • Biological and medical sciences
  • Cardiology. Vascular system
  • Cardiovascular Medicine
  • Causes of
  • Confidence intervals
  • Coronary heart disease
  • Edema
  • Edema, Cardiac - diagnosis
  • Edema, Cardiac - etiology
  • Electrocardiography
  • Female
  • Follow-Up Studies
  • Heart
  • Heart attack
  • Heart attacks
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Medical sciences
  • Middle Aged
  • myocardial infarction
  • Myocardial Infarction - complications
  • Myocardial Infarction - diagnosis
  • myocardial oedema
  • NMR
  • Nuclear magnetic resonance
  • Patients
  • Physiological aspects
  • Prospective Studies
  • Studies
ispartof: British heart journal, 2001-06, Vol.85 (6), p.639-642
description: OBJECTIVE To demonstrate postinfarction myocardial oedema in humans with particular reference to the longitudinal course, using magnetic resonance imaging (MRI). DESIGN Prospective observational study. Subjects were studied one week, one month, three months, six months, and one year after presenting with a myocardial infarct. SETTING Cardiology and magnetic resonance departments in a Danish university hospital. PATIENTS 10 patients (three women, seven men), mean (SEM) age 58.2 (3.20) years, with a first transmural myocardial infarct. MAIN OUTCOME MEASURES Location and duration of postinfarction myocardial oedema. RESULTS All patients had signs of postinfarction myocardial oedema. The magnetic resonance images were evaluated by two blinded procedures, employing two MRI and two ECG observers: (1) MRI determined oedema location was compared with the ECG determined site of infarction and almost complete agreement was found; (2) the time course of postinfarction myocardial oedema was explored semiquantitatively, using an image ranking procedure. Myocardial oedema was greatest at the initial examination one week after the infarction, with a gradual decline during the following months (Spearman's rank correlation analysis: ρobserver 1 = 0.94 (p 
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1355-6037
fulltext: fulltext
issn:
  • 1355-6037
  • 0007-0769
  • 1468-201X
  • 2053-5864
url: Link


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titleSustained postinfarction myocardial oedema in humans visualised by magnetic resonance imaging
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creatorNilsson, J C ; Nielsen, G ; Groenning, B A ; Fritz-Hansen, T ; Sondergaard, L ; Jensen, G B ; Larsson, H B W
creatorcontribNilsson, J C ; Nielsen, G ; Groenning, B A ; Fritz-Hansen, T ; Sondergaard, L ; Jensen, G B ; Larsson, H B W
descriptionOBJECTIVE To demonstrate postinfarction myocardial oedema in humans with particular reference to the longitudinal course, using magnetic resonance imaging (MRI). DESIGN Prospective observational study. Subjects were studied one week, one month, three months, six months, and one year after presenting with a myocardial infarct. SETTING Cardiology and magnetic resonance departments in a Danish university hospital. PATIENTS 10 patients (three women, seven men), mean (SEM) age 58.2 (3.20) years, with a first transmural myocardial infarct. MAIN OUTCOME MEASURES Location and duration of postinfarction myocardial oedema. RESULTS All patients had signs of postinfarction myocardial oedema. The magnetic resonance images were evaluated by two blinded procedures, employing two MRI and two ECG observers: (1) MRI determined oedema location was compared with the ECG determined site of infarction and almost complete agreement was found; (2) the time course of postinfarction myocardial oedema was explored semiquantitatively, using an image ranking procedure. Myocardial oedema was greatest at the initial examination one week after the infarction, with a gradual decline during the following months (Spearman's rank correlation analysis: ρobserver 1 = 0.94 (p < 0.0001) and ρobserver 2 = 0.97 (p < 0.0001)). The median duration of oedema was six months. CONCLUSIONS Postinfarction myocardial oedema seems surprisingly long lasting. This observation is of potential clinical interest because the oedema may have prognostic significance.
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subjectAbridged Index Medicus ; Aged ; Agreements ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular Medicine ; Causes of ; Confidence intervals ; Coronary heart disease ; Edema ; Edema, Cardiac - diagnosis ; Edema, Cardiac - etiology ; Electrocardiography ; Female ; Follow-Up Studies ; Heart ; Heart attack ; Heart attacks ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; myocardial infarction ; Myocardial Infarction - complications ; Myocardial Infarction - diagnosis ; myocardial oedema ; NMR ; Nuclear magnetic resonance ; Patients ; Physiological aspects ; Prospective Studies ; Studies
ispartofBritish heart journal, 2001-06, Vol.85 (6), p.639-642
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descriptionOBJECTIVE To demonstrate postinfarction myocardial oedema in humans with particular reference to the longitudinal course, using magnetic resonance imaging (MRI). DESIGN Prospective observational study. Subjects were studied one week, one month, three months, six months, and one year after presenting with a myocardial infarct. SETTING Cardiology and magnetic resonance departments in a Danish university hospital. PATIENTS 10 patients (three women, seven men), mean (SEM) age 58.2 (3.20) years, with a first transmural myocardial infarct. MAIN OUTCOME MEASURES Location and duration of postinfarction myocardial oedema. RESULTS All patients had signs of postinfarction myocardial oedema. The magnetic resonance images were evaluated by two blinded procedures, employing two MRI and two ECG observers: (1) MRI determined oedema location was compared with the ECG determined site of infarction and almost complete agreement was found; (2) the time course of postinfarction myocardial oedema was explored semiquantitatively, using an image ranking procedure. Myocardial oedema was greatest at the initial examination one week after the infarction, with a gradual decline during the following months (Spearman's rank correlation analysis: ρobserver 1 = 0.94 (p < 0.0001) and ρobserver 2 = 0.97 (p < 0.0001)). The median duration of oedema was six months. CONCLUSIONS Postinfarction myocardial oedema seems surprisingly long lasting. This observation is of potential clinical interest because the oedema may have prognostic significance.
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titleSustained postinfarction myocardial oedema in humans visualised by magnetic resonance imaging
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abstractOBJECTIVE To demonstrate postinfarction myocardial oedema in humans with particular reference to the longitudinal course, using magnetic resonance imaging (MRI). DESIGN Prospective observational study. Subjects were studied one week, one month, three months, six months, and one year after presenting with a myocardial infarct. SETTING Cardiology and magnetic resonance departments in a Danish university hospital. PATIENTS 10 patients (three women, seven men), mean (SEM) age 58.2 (3.20) years, with a first transmural myocardial infarct. MAIN OUTCOME MEASURES Location and duration of postinfarction myocardial oedema. RESULTS All patients had signs of postinfarction myocardial oedema. The magnetic resonance images were evaluated by two blinded procedures, employing two MRI and two ECG observers: (1) MRI determined oedema location was compared with the ECG determined site of infarction and almost complete agreement was found; (2) the time course of postinfarction myocardial oedema was explored semiquantitatively, using an image ranking procedure. Myocardial oedema was greatest at the initial examination one week after the infarction, with a gradual decline during the following months (Spearman's rank correlation analysis: ρobserver 1 = 0.94 (p < 0.0001) and ρobserver 2 = 0.97 (p < 0.0001)). The median duration of oedema was six months. CONCLUSIONS Postinfarction myocardial oedema seems surprisingly long lasting. This observation is of potential clinical interest because the oedema may have prognostic significance.
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