Fingerprinting MINOCA: Unraveling Clues With Quantitative CMR

Overview

Journal JACC Case Rep

Specialty Cardiology & Vascular Diseases

Date 2023 Feb 13

PMID 36776793

Authors

Saberio Lo Presti

Brendan L Eck

Reza Reyaldeen

Christopher Nguyen

W H Wilson Tang

Scott D Flamm

Nicole Seiberlich

Gastao Lima da Cruz

Claudia Prieto

Deborah H Kwon

Affiliations

Soon will be listed here.

Abstract

In the following case series, we describe the clinical presentation of 2 patients with myocardial infarction with nonobstructive coronary arteries with different underlying pathophysiologic mechanisms. In both scenarios, cardiac magnetic resonance (CMR) imaging provided comprehensive tissue characterization with both conventional parametric mapping techniques and CMR fingerprinting. These cases demonstrate the diagnostic utility for CMR to elucidate the underlying etiology and appropriate therapeutic strategy. ().

Citing Articles

Diagnostic Puzzles and Cause-Targeted Treatment Strategies in Myocardial Infarction with Non-Obstructive Coronary Arteries: An Updated Review.

Samaras A, Moysidis D, Papazoglou A, Rampidis G, Kampaktsis P, Kouskouras K J Clin Med. 2023; 12(19).

PMID: 37834842 PMC: 10573806. DOI: 10.3390/jcm12196198.

References

Gehrie E, Reynolds H, Chen A, Neelon B, Roe M, Gibler W . Characterization and outcomes of women and men with non-ST-segment elevation myocardial infarction and nonobstructive coronary artery disease: results from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with.... Am Heart J. 2009; 158(4):688-94. DOI: 10.1016/j.ahj.2009.08.004. View

Berger J, Elliott L, Gallup D, Roe M, Granger C, Armstrong P . Sex differences in mortality following acute coronary syndromes. JAMA. 2009; 302(8):874-82. PMC: 2778841. DOI: 10.1001/jama.2009.1227. View

Pathik B, Raman B, Mohd Amin N, Mahadavan D, Rajendran S, McGavigan A . Troponin-positive chest pain with unobstructed coronary arteries: incremental diagnostic value of cardiovascular magnetic resonance imaging. Eur Heart J Cardiovasc Imaging. 2015; 17(10):1146-52. DOI: 10.1093/ehjci/jev289. View

Gulati M, Levy P, Mukherjee D, Amsterdam E, Bhatt D, Birtcher K . 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2021; 78(22):e187-e285. DOI: 10.1016/j.jacc.2021.07.053. View

Hamilton J, Jiang Y, Chen Y, Ma D, Lo W, Griswold M . MR fingerprinting for rapid quantification of myocardial T , T , and proton spin density. Magn Reson Med. 2016; 77(4):1446-1458. PMC: 5045735. DOI: 10.1002/mrm.26216. View

Eck B, Flamm S, Kwon D, Tang W, Vasquez C, Seiberlich N . Cardiac magnetic resonance fingerprinting: Trends in technical development and potential clinical applications. Prog Nucl Magn Reson Spectrosc. 2021; 122:11-22. PMC: 8366914. DOI: 10.1016/j.pnmrs.2020.10.001. View

Paddock S, Tsampasian V, Assadi H, Mota B, Swift A, Chowdhary A . Clinical Translation of Three-Dimensional Scar, Diffusion Tensor Imaging, Four-Dimensional Flow, and Quantitative Perfusion in Cardiac MRI: A Comprehensive Review. Front Cardiovasc Med. 2021; 8:682027. PMC: 8292630. DOI: 10.3389/fcvm.2021.682027. View

Eck B, Seiberlich N, Flamm S, Hamilton J, Suresh A, Kumar Y . Characterization of cardiac amyloidosis using cardiac magnetic resonance fingerprinting. Int J Cardiol. 2021; 351:107-110. PMC: 8857016. DOI: 10.1016/j.ijcard.2021.12.038. View

Tamis-Holland J, Jneid H, Reynolds H, Agewall S, Brilakis E, Brown T . Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease: A Scientific Statement From the American Heart Association. Circulation. 2019; 139(18):e891-e908. DOI: 10.1161/CIR.0000000000000670. View

10.

Dabir D, Child N, Kalra A, Rogers T, Gebker R, Jabbour A . Reference values for healthy human myocardium using a T1 mapping methodology: results from the International T1 Multicenter cardiovascular magnetic resonance study. J Cardiovasc Magn Reson. 2014; 16:69. PMC: 4203908. DOI: 10.1186/s12968-014-0069-x. View

11.

Reynolds H, Maehara A, Kwong R, Sedlak T, Saw J, Smilowitz N . Coronary Optical Coherence Tomography and Cardiac Magnetic Resonance Imaging to Determine Underlying Causes of Myocardial Infarction With Nonobstructive Coronary Arteries in Women. Circulation. 2020; 143(7):624-640. PMC: 8627695. DOI: 10.1161/CIRCULATIONAHA.120.052008. View

12.

Hanson C, Kamath A, Gottbrecht M, Ibrahim S, Salerno M . T2 Relaxation Times at Cardiac MRI in Healthy Adults: A Systematic Review and Meta-Analysis. Radiology. 2020; 297(2):344-351. PMC: 7605362. DOI: 10.1148/radiol.2020200989. View