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Ischemic Cardiomyopathy: Value of Different MRI Techniques for Prediction of Functional Recovery After Revascularization

Lieven Van Hoe1 and Marc Vanderheyden2

1 Department of Radiology, Onze Lieve Vrouw Ziekenhuis, Moorselbaan 164, 9300 Aalst, Belgium.
2 Cardiovascular Center, Onze Lieve Vrouw Ziekenhuis, Moorselbaan 164, 9300 Aalst, Belgium.



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  		Fig. 1A. —65-year-old man with myocardial infarction. Hyperenhancing region has been contoured manually (white line) to allow calculation of total infarct volume. Delayed contrast-enhanced MRI shows hyperenhancing myocardial tissue in lateral wall, representing infarct.

 


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  		Fig. 1B. —65-year-old man with myocardial infarction. Hyperenhancing region has been contoured manually (white line) to allow calculation of total infarct volume. Delayed contrast-enhanced MRIs obtained immediately after one another at different slice positions show infarct in lateral wall.

 


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  		Fig. 1C. —65-year-old man with myocardial infarction. Hyperenhancing region has been contoured manually (white line) to allow calculation of total infarct volume. Delayed contrast-enhanced MRIs obtained immediately after one another at different slice positions show infarct in lateral wall.

 


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  		Fig. 1D. —65-year-old man with myocardial infarction. Hyperenhancing region has been contoured manually (white line) to allow calculation of total infarct volume. Delayed contrast-enhanced MRIs obtained immediately after one another at different slice positions show infarct in lateral wall.

 


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  		Fig. 1E. —65-year-old man with myocardial infarction. Hyperenhancing region has been contoured manually (white line) to allow calculation of total infarct volume. Delayed contrast-enhanced MRIs obtained immediately after one another at different slice positions show infarct in lateral wall.

 


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  		Fig. 1F. —65-year-old man with myocardial infarction. Hyperenhancing region has been contoured manually (white line) to allow calculation of total infarct volume. Delayed contrast-enhanced MRIs obtained immediately after one another at different slice positions show infarct in lateral wall.

 


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  		Fig. 2. —Graph shows relation of myocardial infarct volume to ejection fraction at follow-up. Note that functional outcome was poor for patients with large infarct volumes.

 

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