Academic Journal
Post-myocardial infarction pericarditis: insight from a cardiovascular magnetic resonance study
| Τίτλος: | Post-myocardial infarction pericarditis: insight from a cardiovascular magnetic resonance study |
|---|---|
| Συγγραφείς: | Cau R., Natale L., Cademartiri F., Falconi G., Suri J. S., Esposito A., Saba L. |
| Συνεισφορές: | Cau, R., Natale, L., Cademartiri, F., Falconi, G., Suri, J. S., Esposito, A., Saba, L. |
| Στοιχεία εκδότη: | Elsevier Ireland Ltd |
| Έτος έκδοσης: | 2026 |
| Θεματικοί όροι: | CMR, Dressler pericarditis, Epistenocardiac Pericarditis, Pericarditis, STEMI |
| Περιγραφή: | Objective This study aims to investigate the demographic, laboratory, clinical, and cardiovascular magnetic resonance (CMR) correlates of post-myocardial infarction pericarditis (PMIP), as well as its impact on outcomes in patients with ST-segment elevation myocardial infarction (STEMI) Method This retrospective study included CMR scans of 122 consecutive patients with STEMI (92 males, mean age 64.16 ± 10.35 years). Among them, 33 (26 males, mean age 60.81 ± 11.27 years) exhibited PMIP, defined by the presence of pericardial enhancement on T2-STIR and/or late gadolinium enhancement (LGE) sequences. Results Patients with PMIP had a lower left ventricular ejection fraction (p = 0.017) and a higher indexed right ventricular end-systolic volume (p = 0.025) compared to those without PMIP. Patients with PMIP exhibited more impaired atrial reservoir strain, global radial strain, and global longitudinal strain, as well as a greater extent of LGE and papillary muscle involvement compared to those without PMIP (p = 0.001; p = 0.002; p = 0.012; p = 0.001; p = 0.001, respectively). On multivariate analysis, atrial reservoir strain and global longitudinal strain were independently associated with PMIP (β = -2.803, p = 0.009; β = 2.475, p = 0.013). However, the presence of PMIP was not associated with a higher incidence of adverse cardiac events during follow-up. Conclusion PMIP is a well-known complications of STEMI patients and is associated with greater cardiac dysfunction, as well as more extensive myocardial damage. Despite these myocardial alterations, PMIP did not result in a higher incidence of adverse cardiac events during follow-up. |
| Τύπος εγγράφου: | article in journal/newspaper |
| Γλώσσα: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/41275630; info:eu-repo/semantics/altIdentifier/wos/WOS:001629137300001; volume:195; numberofpages:7; journal:EUROPEAN JOURNAL OF RADIOLOGY; https://hdl.handle.net/20.500.11768/194917 |
| DOI: | 10.1016/j.ejrad.2025.112543 |
| Διαθεσιμότητα: | https://hdl.handle.net/20.500.11768/194917 https://doi.org/10.1016/j.ejrad.2025.112543 https://www.ejradiology.com/article/S0720-048X(25)00629-1/fulltext |
| Rights: | info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/ |
| Αριθμός Καταχώρησης: | edsbas.3176767A |
| Βάση Δεδομένων: | BASE |
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