24th ASMIHA Coverage: Smart in Using Imaging Modality
JAKARTA --- Cardiac magnetic resonance is a noninvasive diagnostic modality capable of providing a comprehensive picture of tissue. Role of Cardiac MRI in the detection area of infarction and microvascular obstruction can be a predictor of risk of cardiac events. Its use is increasing broadly, especially in determining the prognosis for the patient as well as management becomes the focus of a joint symposium entitled "The Role of Cardiac Magnetic Resonance in Daily Clinical Practice of Cardiology Services".
"The management of the right target can be more easily achieved if the imaging implemented first," said Sony Hilal Wicaksono, MD. One of the uses of Cardiac MRI is to detect tissue hypoperfusion. Hypoperfusion as the initial stage of the ischemic cascade must immediately be detected. It is related therapies, such as stenting to reduce cardiac events. "Reperfusion therapy is the standard in the management of acute myocardial infarction. However, patients still suffer myocardial abnormalities in case of microvascular obstruction, "said Kasim Manoefris, MD.
Microvascular obstruction can be diagnosed through four criteria, namely peristen ST elevation, myocardial blush grade <2, late gadolinium enhancement (LGE) MRI, as well as biomarker rise rapidly. Patients who undergo infarction with microvascular obstruction at risk of heart failure and higher mortality. Therefore, early detection and proper treatment can improve the prognosis of patients. Not only has a diagnostic function in ischemic heart disease, cardiac MRI is also capable of detecting non ischemic heart disease. "By using cardiac MRI, can be determined the type of ischemic cardiomyopathy or noniskemi through the image of late gadolinium enhancement (LGE)," said Saskia Dyah Handari, MD. In addition, Cardiac MRI can also be used to evaluate heart muscle damage and fibrotic area.
Modified from Media Aesculapius by KM, Edited by Su