Cuantificación del área miocárdica en riesgo: validación de puntuaciones angiográficas coronarias con métodos de resonancia magnética cardiovascular

Moral, Sergio; Rodríguez-Palomares, José F.; Descalzo, M.; Martí, Gerard; Pineda, Víctor; Otaegui, Imanol; Blanco, Bruno García del; Evangelista, Artur; Garcı́a-Dorado, David

doi:10.1016/j.recesp.2012.04.020

Cited by 20 publications

(5 citation statements)

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“…BARI MJI was calculated using methods as initially described from left ventricular (LV) myocardium at risk (LV myocardium jeopardized by lesion), depending on size and location (15–17). According to BARI MJI, percentage of LV myocardium jeopardized by lesion was based on extent of distribution of the 3 main coronary arteries and all major branches (15–17).…”

Section: Methodsmentioning

confidence: 99%

“…According to BARI MJI, percentage of LV myocardium jeopardized by lesion was based on extent of distribution of the 3 main coronary arteries and all major branches (15–17). Native coronary artery distribution was based on observer grading of distal terminating arteries (the ramus intermedius, 0–3 diagonal branches, 0–3 obtuse marginal branches, sub-branches for each of these, 0 to 3 septal arteries, posterior-lateral artery, posterior descending, as well as distal terminal portion of left anterior descending artery, left circumflex artery, and RCA), limited to those approximately ≥1.5 mm in diameter (15–17). This system assigns numerical LV score corresponding to relative size of all of these terminal arteries (15–17).…”

Section: Methodsmentioning

confidence: 99%

“…Native coronary artery distribution was based on observer grading of distal terminating arteries (the ramus intermedius, 0–3 diagonal branches, 0–3 obtuse marginal branches, sub-branches for each of these, 0 to 3 septal arteries, posterior-lateral artery, posterior descending, as well as distal terminal portion of left anterior descending artery, left circumflex artery, and RCA), limited to those approximately ≥1.5 mm in diameter (15–17). This system assigns numerical LV score corresponding to relative size of all of these terminal arteries (15–17). This LV score reflects size of LV territory supplied by each vessel and is based on ratio of length of terminating artery to LV base to apex distance (and to a lesser extent circumferential spread of smaller branches).…”

Section: Methodsmentioning

confidence: 99%

“…Final BARI MJI was obtained by dividing sum of scores of terminal arteries subtended distal to lesion by overall LV score, which finally permits estimation of percentage of myocardium at risk (Fig. 1) (15–17). …”

Section: Methodsmentioning

confidence: 99%

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Prediction of fractional flow reserve with angiographic DILEMMA score

Beton

Kaya²,

Turgut

et al. 2016

Anatol J Cardiol

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Objective:Angiographic assessment of stenosis has limited predictive value for functionally significant lesions compared with fractional flow reserve (FFR). The recently developed angiographic DILEMMA score, which consists of minimal lumen diameter (MLD), lesion length (LL) and Bypass Angioplasty Revascularization Investigation (BARI) Myocardial Jeopardy Index (MJI) was found to have diagnostic value in predicting FFR ≤0.80. The present study was an investigation of prediction of FFR ≤0.80 using DILEMMA score and its relationship to resting distal coronary artery pressure/aortic pressure (Pd/Pa).Methods:Records of consecutive patients who underwent coronary angiography and FFR were retrospectively analyzed. Assessment of MLD and LL was performed using quantitative coronary angiography. BARI MJI was calculated using angiographic calculation index.Results:A total of 185 pressure wire analysis data sets from 150 patients were analyzed retrospectively. There were 82 lesions in FFR >0.80 group and 103 lesions in FFR ≤0.80 group. Negative correlation was found between FFR and DILEMMA score (r=-0.494; p<0.001), FFR and BARI-MJI (r=-0.378; p<0.001), and between FFR and LL (r=-0.314; p<0.001). Positive correlation was found between FFR and baseline Pd/Pa (r=0.713; p<0.001), and between FFR and MLD (r=0.415; p<0.001). DILEMMA score had negative correlation with resting Pd/Pa (r=-0.389; p<0.001). In receiver operating characteristic analysis for diagnosing FFR≤0.80, area under curve values of resting Pd/Pa, DILEMMA score, MLD, BARI-MJI, and LL were 0.862, 0.793, 0.780, 0.728, and 0.686, respectively.Conclusion:DILEMMA score had moderately strong correlation with FFR and good accuracy in diagnosing significant FFR, but it had weak correlation with resting Pd/Pa. (Anatol J Cardiol 2017; 17: 285-92)

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Prediction of fractional flow reserve with angiographic DILEMMA score

Beton

Kaya²,

Turgut

et al. 2016

Anatol J Cardiol

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“…In 2012, Moral et al, compared BARI and APPROACH scores with T2-STIR and infarct endocardial surface area methods. They reported a good correlation between the different angiographic scores and their CMR-sequence [ 27 ]. The data presented here, as far as we are aware, represent the first comparison of CE-SSFP and angiographic jeopardy scores in the literature.…”

Section: Discussionmentioning

confidence: 99%

Quantification of myocardium at risk in ST- elevation myocardial infarction: a comparison of contrast-enhanced steady-state free precession cine cardiovascular magnetic resonance with coronary angiographic jeopardy scores

Palma

Sörensson

Verouhis

et al. 2016

Journal of Cardiovascular Magnetic Resonance

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BackgroundClinical outcome following acute myocardial infarction is predicted by final infarct size evaluated in relation to left ventricular myocardium at risk (MaR). Contrast-enhanced steady-state free precession (CE-SSFP) cardiovascular magnetic resonance imaging (CMR) is not widely used for assessing MaR. Evidence of its utility compared to traditional assessment methods and as a surrogate for clinical outcome is needed.MethodsRetrospective analysis within a study evaluating post-conditioning during ST elevation myocardial infarction (STEMI) treated with coronary intervention (n = 78). CE-SSFP post-infarction was compared with angiographic jeopardy methods. Differences and variability between CMR and angiographic methods using Bland-Altman analyses were evaluated. Clinical outcomes were compared to MaR and extent of infarction.ResultsMaR showed correlation between CE-SSFP, and both BARI and APPROACH scores of 0.83 (p < 0.0001) and 0.84 (p < 0.0001) respectively. Bias between CE-SSFP and BARI was 1.1% (agreement limits -11.4 to +9.1). Bias between CE-SSFP and APPROACH was 1.2% (agreement limits -13 to +10.5). Inter-observer variability for the BARI score was 0.56 ± 2.9; 0.42 ± 2.1 for the APPROACH score; -1.4 ± 3.1% for CE-SSFP. Intra-observer variability was 0.15 ± 1.85 for the BARI score; for the APPROACH score 0.19 ± 1.6; and for CE-SSFP -0.58 ± 2.9%.ConclusionQuantification of MaR with CE-SSFP imaging following STEMI shows high correlation and low bias compared with angiographic scoring and supports its use as a reliable and practical method to determine myocardial salvage in this patient population.Trial registrationClinical trial registration information for the parent clinical trial:Karolinska Clinical Trial Registration (2008)Unique identifier: CT20080014. Registered 04th January 2008Electronic supplementary materialThe online version of this article (doi:10.1186/s12968-017-0359-1) contains supplementary material, which is available to authorized users.

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Effect of COMBinAtion therapy with remote ischemic conditioning and exenatide on the Myocardial Infarct size: a two-by-two factorial randomized trial (COMBAT-MI)

et al. 2021

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Manuscript-changes in yellowClick here to access/download;Manuscript;MANUSCRIPT COMBAT MI-BRC-DEF_yellow marked.docx Click here to view linked References Acknowledgements: The COMBAT-MI trial was conceived, designed and led by Prof. David Garcia-Dorado and represents the last contribution of his scientific and medical career dedicated entirely to the search for new and effective cardioprotective strategies that can benefit patients with ischemic heart disease. With this article we want to pay a heartfelt tribute to his memory and express our gratitude to him. The authors also want to thank Prof. Aurora García-Dorado for her valuable and expert assistance in the statistical analysis. The trial was sponsored with a grant from Instituto de Salud Carlos III (PIE 13/00027) and a grant from Generalitat de Catalunya (PERIS SLT/2381/2016).

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Cuantificación del área miocárdica en riesgo: validación de puntuaciones angiográficas coronarias con métodos de resonancia magnética cardiovascular

Cited by 20 publications

References 31 publications

Prediction of fractional flow reserve with angiographic DILEMMA score

Prediction of fractional flow reserve with angiographic DILEMMA score

Quantification of myocardium at risk in ST- elevation myocardial infarction: a comparison of contrast-enhanced steady-state free precession cine cardiovascular magnetic resonance with coronary angiographic jeopardy scores

Effect of COMBinAtion therapy with remote ischemic conditioning and exenatide on the Myocardial Infarct size: a two-by-two factorial randomized trial (COMBAT-MI)

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