The Role of Cardiac Magnetic Resonance in the Evaluation of Patients Presenting with Suspected or Confirmed Acute Coronary Syndrome
Figure 2
Determing acute from chronic infarcts. This patient had a CMR shortly after presenting with acute-onset chest pain. -weighted imaging (a) reveals a bright signal in the mid-anteroseptum and apex, signifying edema, a marker of acute myocardial injury. Late gadolinium enhanced (LGE) imaging (b) shows an infarct in the mid-inferolateral wall, but minimal enhancement in the anteroseptum or apex. This patient had a severely stenosed mid-LAD as well as an occluded obtuse marginal branch of the circumflex coronary artery. CMR in this case was able to determine the culprit vessel.
