Evidence map›Paper›PMID 40606046›Full record

ArticleWorld journal of radiology2025

Diagnostic usefulness and limitation of cardiac magnetic resonance for identifying myocardial damage in survivors of cardiac arrest in midtown.

Yasuo Amano, Yasuyuki Suzuki, Kazuki Iso, Chisato Ando, Maki Amano

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Article in World journal of radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yasuo AmanoDepartment of Radiology, Nihon University Hospital, Tokyo 1018309, Japan. yas-amano@nifty.com.
Yasuyuki SuzukiDepartment of Cardiology, Nihon University Hospital, Tokyo 1018309, Japan.
Kazuki IsoDepartment of Cardiology, Nihon University Hospital, Tokyo 1018309, Japan.
Chisato AndoDivision of Radiological Technology, Nihon University Hospital, Tokyo 1018309, Japan.
Maki AmanoDepartment of Radiology, Nihon University Hospital, Tokyo 1018309, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac magnetic resonance (CMR) has been reported to identify myocardial damage inducing out-of-hospital cardiac arrest (OHCA). However, the usefulness of CMR may be affected by the medical institutions, patients' ages, and myocardial diseases.

aimTo clarify the clinical usefulness and limitation of CMR for identifying myocardial damage in the survivors of OHCA in midtown.

methodsNineteen patients underwent CMR to detect myocardial damage related to OHCA in the midtown of a capital city. Cine, T1 and T2 mapping, T2-weighted, and late gadolinium enhancement (LGE) imaging were acquired using a 1.5 T scanner. We described the clinical characteristics of the survivors of OHCA and evaluated usefulness of CMR for identifying myocardial damage related to OHCA.

resultsAmong 19 patients experiencing OHCA, 7 experienced it in trains or on railway platforms, 4 while practicing sports, and 4 during their daily work. Ten of the 19 survivors were diagnosed with coronary vasospasm (CVS), in whom CMR failed to depict its characteristic findings. CMR was useful for identifying myocardial damage associated with hypertrophic cardiomyopathy (HCM) or myocardial infarction (MI). LGE was related to serious ventricular arrhythmias after implantable cardioverter defibrillator (ICD) installation in 3 patients (CVS, 2; HCM, 1).

conclusionCMR is useful for identifying myocardial damage of HCM or MI inducing OHCA and predicting ventricular arrhythmias after ICD implantation but has limited capability for detecting myocardial damage of CVS.

Indexed as

Cardiac arrestCardiac magnetic resonanceCoronary vasospasmImplantable cardioverter defibrillatorLate gadolinium enhancement

Identifiers

PMID40606046
PMCPMC12210199

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