Kardiologie up2date 2011; 7(2): 82-88
DOI: 10.1055/s-0030-1256691
Hotline – Diagnostische Verfahren und Bildgebung

© Georg Thieme Verlag KG Stuttgart · New York

Notaufnahme – Platz für Kardio-MRT und Kardio-CT?

Andreas  Schuster, Eike  Nagel
Further Information

Publication History

Publication Date:
21 July 2011 (online)

Abstract

Coronary Artery Disease (CAD), subsequent myocardial infarction (MI) and heart failure constitute a leading cause of death in the western world. Myocardial ischemia is the major component underlying these cardiovascular diseases. Acute coronary syndrome (ACS) is heterogenic and comprises acute ST-Elevation Myocardial Infarction (STEMI), Non-ST-Elevation Myocardial Infarction (NSTEMI) and unstable angina. Whilst ECG and laboratory diagnostics are first line tests to perform it is well recognized that non-invasive techniques such as cardiac magnetic resonance (CMR) and computer tomography (CT) can be of additional value particularly in the setting of unstable angina.

CMR brings the promise of exact quantification of myocardial function, accurate tissue characterisation including assessment of myocardial oedema and necrosis and assessment of functional severity of coronary artery stenoses by first pass perfusion in a single examination. CT on the other hand offers, „triple rule out” of pulmonary embolism, aortic dissection and myocardial infarction in a relatively quick and easy examination. This article will review the indications, accuracy, and clinical utility of CMR and CT and their value in the accident and emergency department for the diagnostic assessment of ACS. Finally we will give an outlook on how this field might evolve in the future.

Literatur

Dr. Andreas Schuster, MD 

King’s College London – Division of Imaging Sciences and Biomedical Engineering
The Rayne Institute, 4th Floor Lambeth Wing
St. Thomas’ Hospital

London SE1 7EH
United Kingdom

Email: [email protected]

Prof. Dr. Eike Nagel, MD, PhD, FACC, FESC 

Chair of Clinical Cardiovascular Imaging
King’s College London – Division of Imaging Sciences
The Rayne Institute, 4th Floor Lambeth Wing
St. Thomas’ Hospital

London SE1 7EH
United Kingdom

Email: [email protected]