Atrial fibrillation cardiac MRI
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Cardiac magnetic resonance imaging may be used to assess the structure and the function of the atria in patients with atrial fibrillation. Recent studies suggest that late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) is a powerful tool to detect atrial fibrosis and atrial fibrillation related remodelings. Detection of atrial fibrosis with late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) can be helpful for patient selection for ablation treatment. Moreover, this diagnostic tool can be use to detect thrombosis within the atrium.
Cardiac MRI
- Recent studies suggest that late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) is a powerful tool to detect atrial fibrosis and atrial fibrillation related remodelings.[1][2][3]
- Detection of atrial fibrosis with late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) can be helpful for patient selection for ablation treatment.[2]
- Moreover this diagnostic tool can be use to detect thrombosis within the atrium. Based on a analysis study done on 582 patients from seven publications cine-cardiac magnetic resonance imaging (MRI) has a pooled sensitivity and specificity of 91.00% and 93.00%, respectively.[4]
- Based on a study done on patients with permanent atrial fibrillation, cardiac magnetic resonance imaging (MRI) was more reliable in detecting the atrium size, structure, and contractile function, compared to trans-thoracic echocardiography. [5]
- Cine-cardiac magnetic resonance imaging (MRI) is able to evaluate the effect of ablation in atrial fibrillation cases.[2]
- Detection of abnormal left atrial function in late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) is associated with worse prognosis.[2]
ACCF/ACR/AHA/NASCI/SCMR 2010 Expert Consensus Document on Cardiovascular Magnetic Resonance[6] (DO NOT EDIT)
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References
- ↑ Higuchi K, Akkaya M, Akoum N, Marrouche NF (2014). "Cardiac MRI assessment of atrial fibrosis in atrial fibrillation: implications for diagnosis and therapy". Heart. 100 (7): 590–6. doi:10.1136/heartjnl-2013-303884. PMID 23619986.
- ↑ 2.0 2.1 2.2 2.3 Zghaib T, Nazarian S (2018). "New Insights Into the Use of Cardiac Magnetic Resonance Imaging to Guide Decision Making in Atrial Fibrillation Management". Can J Cardiol. 34 (11): 1461–1470. doi:10.1016/j.cjca.2018.07.007. PMID 30297256.
- ↑ Lee DK, Shim J, Choi JI, Kim YH, Oh YW, Hwang SH (2019). "Left Atrial Fibrosis Assessed with Cardiac MRI in Patients with Paroxysmal and Those with Persistent Atrial Fibrillation". Radiology. 292 (3): 575–582. doi:10.1148/radiol.2019182629. PMID 31310173.
- ↑ Chen J, Zhang H, Zhu D, Wang Y, Byanju S, Liao M (2019). "Cardiac MRI for detecting left atrial/left atrial appendage thrombus in patients with atrial fibrillation : Meta-analysis and systematic review". Herz. 44 (5): 390–397. doi:10.1007/s00059-017-4676-9. PMID 29374292.
- ↑ Agner BF, Kühl JT, Linde JJ, Kofoed KF, Åkeson P, Rasmussen BV; et al. (2014). "Assessment of left atrial volume and function in patients with permanent atrial fibrillation: comparison of cardiac magnetic resonance imaging, 320-slice multi-detector computed tomography, and transthoracic echocardiography". Eur Heart J Cardiovasc Imaging. 15 (5): 532–40. doi:10.1093/ehjci/jet239. PMID 24247925.
- ↑ American College of Cardiology Foundation Task Force on Expert Consensus Documents. Hundley WG, Bluemke DA, Finn JP, Flamm SD, Fogel MA; et al. (2010). "ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents". Circulation. 121 (22): 2462–508. doi:10.1161/CIR.0b013e3181d44a8f. PMC 3034132. PMID 20479157.