Utility of 64-MSCT in assessing acute non-reperfused myocardial infarct size.

J Geriatr Cardiol

Department of Cardiology, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China.

Published: September 2013

AI Article Synopsis

  • The study aimed to assess how effective multi-slice computed tomography (MSCT) is in measuring the size of acute non-reperfused myocardial infarction (MI) in a pig model.
  • Seven pigs underwent a procedure to create an MI, and subsequent imaging and staining methods were used to evaluate MI volume and tissue characteristics at various time points after contrast injection.
  • Results showed a significant decrease in MI size observed by MSCT over time, with the best assessment occurring between 5 to 15 minutes after contrast injection, demonstrating MSCT's utility in evaluating heart damage.

Article Abstract

Objective: To evaluate the utility of multi-slice computed tomography (MSCT) in assessing acute non-reperfused myocardial infarct size.

Methods: Seven domestic pigs (mean weight 17.3 ± 1.9 kg) underwent ligation of the distal left anterior descending artery to establish a model of acute myocardial infarction (MI). MSCT and triphenyltetrazolium chloride (TTC) staining were performed two hours later. The following data were acquired and analyzed: MI volume (%), CT values of the infarcted region, left ventricular cavity and normal cardiac tissue at various scanning time-points (1, 5, 10, 15, 20 min after contrast injection).

Results: Using MSCT, the overall MI volume showed a time-dependent decrease, with a reduction of 28.87% after 20 min. The greatest reduction occurred at the 5 min time-point. In TTC staining, MI volume was 9.87% ± 2.44%. When MI size, as determined by MSCT, was compared with that by TTC staining in Bland-Altman plots, there was a better agreement at 5, 10, and 15 min time-points at 1 and 20 min.

Conclusions: The study indicates that double-phase scanning examination using MSCT is a useful tool to assess MI size, and the optimal late-phase scanning time-point set within 5-15 min of contrast injection.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796698PMC
http://dx.doi.org/10.3969/j.issn.1671-5411.2013.03.007DOI Listing

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