American Journal of Cardiology
Volume 97, Issue 6 , Pages 768-771 , 15 March 2006

Detection of Myocardial Scar by Contrast-Enhanced Cardiac Magnetic Resonance Imaging in Patients With Troponin-Positive Chest Pain and Minimal Angiographic Coronary Artery Disease

  • Jonathan P. Christiansen, MB, ChB, MD

      Affiliations

    • Cardiovascular Division, North Shore Hospital, Waitemata Health, Auckland, New Zealand
    • Corresponding Author InformationCorresponding author: Tel: 64-9-486-1491; fax: 64-9-486-8963.
    • ,
  • Colin Edwards, MB, BCh

      Affiliations

    • Cardiovascular Division, North Shore Hospital, Waitemata Health, Auckland, New Zealand
    • ,
  • Toni Sinclair, BHSc

      Affiliations

    • Radiology Group, Auckland, New Zealand
    • ,
  • Guy Armstrong, MB, ChB

      Affiliations

    • Cardiovascular Division, North Shore Hospital, Waitemata Health, Auckland, New Zealand
    • ,
  • Anthony Scott, MB, ChB

      Affiliations

    • Cardiovascular Division, North Shore Hospital, Waitemata Health, Auckland, New Zealand
    • ,
  • Hitesh Patel, MB, ChB

      Affiliations

    • Cardiovascular Division, North Shore Hospital, Waitemata Health, Auckland, New Zealand
    • ,
  • Hamish Hart, MB, BCh

      Affiliations

    • Cardiovascular Division, North Shore Hospital, Waitemata Health, Auckland, New Zealand

Received 18 August 2005 ,Revised 3 October 2005 ,Accepted 3 October 2005.

References 

  1. Bakshi TK , Choo MKF , Edwards CC , Scott AG , Hart HH , Armstrong GP . Causes of elevated troponin I with a normal coronary angiogram . Intern Med J . 2002;32:1–6
  2. Larsen AI , Galbraith PD , Ghali WA , Norris CM , Graham MM , Knudtson WL  APPROACH Investigators . Characteristics and outcomes of patients with acute myocardial infarction and angiographically normal coronary arteries . Am J Cardiol . 2005;95:261–263
  3. Germing A, Lindstaedt M, Ulrich S, Grewe P, Bojara W, Lawo T, et al. Normal angiogram in acute coronary syndrome—preangiographic risk stratification, angiographic findings and follow-up . Int J Cardiol . 2005;99:19–23
  4. Higgins JP , Higgins JA . Elevation of cardiac troponin indicates more than myocardial ischaemia . Clin Invest Med . 2003;26:133–147
  5. Dokainish H, Pillai M, Murphy SA, DiBattiste PM, Schweiger MJ, Lofti A, et al. Prognostic implications of elevated troponin in patients with suspected acute coronary syndrome but no critical epicardial coronary disease (a TATICS-TIMI-18 substudy) . J Am Coll Cardiol . 2005;45:19–24
  6. Kim RJ , Shah DP , Judd RM . How we perform delayed enhancement imaging . J Cardiovasc Magn Reson . 2003;5:505–514
  7. Ricciardi MJ, Wu E, Davidson CJ, Choi KM, Klocke FJ, Bonow RO, et al. Visualisation of discrete microinfarction after percutaneous coronary intervention associated with mild creatinine kinase-MB elevation . Circulation . 2001;103:2780–2783
  8. Selvanayagam JB, Porto I, Channon K, Petersen SE, Francis JM, Neubauer S, et al. Troponin elevation after percutaneous coronary intervention directly represents the extent of irreversible myocardial injury . Circulation . 2005;11:1027–1032
  9. Armstrong GP , Barker AN , Patel H , Hart HH . Reference interval for troponin I on the ACS: Centaur Assay: a recommendation based on the redefinition of myocardial infarction . Clin Chem . 2002;48:198–199
  10. Cerqueira MD, Weissman NJ, Dilsizian V, Jacobs AK, Kaul S, Laskey WK, et al. Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart (a statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association) . Circulation . 2002;105:539–542

PII: S0002-9149(05)02061-8

doi: 10.1016/j.amjcard.2005.10.016

American Journal of Cardiology
Volume 97, Issue 6 , Pages 768-771 , 15 March 2006

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