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- W2000829271 abstract "Reversible injured myocardium (stunned myocardium) due to brief ischemia demonstrates no enhancement in Gadolinium-DTPA enhanced magnetic resonance image (Gd-MRI) in animal studies. To test whether this finding can be observed in clinical settings or not. we studied 18 patients with acute myocardial ischemia using Gd-MRI. All patients underwent cardiac catheterization and angiography both on admission and after 1 month. In these patients, LAD was considered to be a culprit vessel and antero-septal region showed severe dyskinesis. If the flow grade was less than TIMI grade 3, PTCA was performed. With Gd–MRI (performed within 7 days), the patients were divided into two groups: Gd(+) and Gd(-). Gd(+) was defined as the group with the signal intensity ratio (anterior/inferior) higher than 1.20 in the ischemic area (normal control = 1.00 ± 0.08). LV wall motion was analyzed by using centerline method. Results are shown as follows: n PTCA mean SD/chord acute 1M Gd(+) 11 11 3.17 ± 0.24 267 ± 0.71 Gd(-) 7 6 2.39 ± 0.59 0.65 ± 0.74 LV wall motion in Gd(+) couldn’t improve at 1 month, but significantly improved in Gd(-). Conclusion; Dyskinetic myocardium without Gd-DTPA enhancement is regarded as reversible injured myocardium." @default.
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- W2000829271 date "1995-02-01" @default.
- W2000829271 modified "2023-10-18" @default.
- W2000829271 title "929-67 Reversibility of Ischemic Myocardial Injury can be Predicted by Gadolinium-DTPA Enhanced Magnetic Resonance Imaging After Reperfusion" @default.
- W2000829271 doi "https://doi.org/10.1016/0735-1097(95)91926-o" @default.
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