Sudden cardiac death (SCD) is a potentially fatal event usually caused by a cardiac arrhythmia, which is often the result of coronary artery disease (CAD). Up to 80% of patients suffering from SCD have concomitant CAD. Arrhythmic complications may occur in patients with acute coronary syndrome (ACS) before admission, during revascularization procedures, and in hospital intensive care monitoring. In addition, about 20% of patients who survive cardiac arrest develop a transmural myocardial infarction (MI). Prevention of ACS can be evaluated in selected patients using cardiac computed tomography angiography (CCTA), while diagnosis can be depicted using electrocardiography (ECG), and complications can be evaluated with cardiac magnetic resonance (CMR) and echocardiography. CCTA can evaluate plaque, burden of disease, stenosis, and adverse plaque characteristics, in patients with chest pain. ECG and echocardiography are the first-line tests for ACS and are affordable and useful for diagnosis. CMR can evaluate function and the presence of complications after ACS, such as development of ventricular thrombus and presence of myocardial tissue characterization abnormalities that can be the substrate of ventricular arrhythmias.

Multimodality Imaging of Sudden Cardiac Death and Acute Complications in Acute Coronary Syndrome / Muscogiuri, Giuseppe; Guaricci, Andrea Igoren; Soldato, Nicola; Cau, Riccardo; Saba, Luca; Siena, Paola; Tarsitano, Maria Grazia; Giannetta, Elisa; Sala, Davide; Sganzerla, Paolo; Gatti, Marco; Faletti, Riccardo; Senatieri, Alberto; Chierchia, Gregorio; Pontone, Gianluca; Marra, Paolo; Rabbat, Mark G; Sironi, Sandro. - In: JOURNAL OF CLINICAL MEDICINE. - ISSN 2077-0383. - 11:19(2022). [10.3390/jcm11195663]

Multimodality Imaging of Sudden Cardiac Death and Acute Complications in Acute Coronary Syndrome

Muscogiuri, Giuseppe;Tarsitano, Maria Grazia;Giannetta, Elisa;Gatti, Marco;
2022

Abstract

Sudden cardiac death (SCD) is a potentially fatal event usually caused by a cardiac arrhythmia, which is often the result of coronary artery disease (CAD). Up to 80% of patients suffering from SCD have concomitant CAD. Arrhythmic complications may occur in patients with acute coronary syndrome (ACS) before admission, during revascularization procedures, and in hospital intensive care monitoring. In addition, about 20% of patients who survive cardiac arrest develop a transmural myocardial infarction (MI). Prevention of ACS can be evaluated in selected patients using cardiac computed tomography angiography (CCTA), while diagnosis can be depicted using electrocardiography (ECG), and complications can be evaluated with cardiac magnetic resonance (CMR) and echocardiography. CCTA can evaluate plaque, burden of disease, stenosis, and adverse plaque characteristics, in patients with chest pain. ECG and echocardiography are the first-line tests for ACS and are affordable and useful for diagnosis. CMR can evaluate function and the presence of complications after ACS, such as development of ventricular thrombus and presence of myocardial tissue characterization abnormalities that can be the substrate of ventricular arrhythmias.
2022
acute myocardial infarction; cardiac arrhythmias; ischemic cardiomyopathy; late gadolinium enhancement; myocardial edema; ventricular thrombus
01 Pubblicazione su rivista::01a Articolo in rivista
Multimodality Imaging of Sudden Cardiac Death and Acute Complications in Acute Coronary Syndrome / Muscogiuri, Giuseppe; Guaricci, Andrea Igoren; Soldato, Nicola; Cau, Riccardo; Saba, Luca; Siena, Paola; Tarsitano, Maria Grazia; Giannetta, Elisa; Sala, Davide; Sganzerla, Paolo; Gatti, Marco; Faletti, Riccardo; Senatieri, Alberto; Chierchia, Gregorio; Pontone, Gianluca; Marra, Paolo; Rabbat, Mark G; Sironi, Sandro. - In: JOURNAL OF CLINICAL MEDICINE. - ISSN 2077-0383. - 11:19(2022). [10.3390/jcm11195663]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1722081
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