Journal of Cardiovascular Development and Disease (Jul 2023)

Cardiac Magnetic Resonance—Detected Acute Myocardial Edema as Predictor of Favourable Prognosis: A Comprehensive Review

  • Giulio Sinigiani,
  • Laura De Michieli,
  • Giorgio De Conti,
  • Fabrizio Ricci,
  • Manuel De Lazzari,
  • Federico Migliore,
  • Martina Perazzolo Marra,
  • Alessandro Zorzi,
  • Domenico Corrado,
  • Alberto Cipriani

DOI
https://doi.org/10.3390/jcdd10080319
Journal volume & issue
Vol. 10, no. 8
p. 319

Abstract

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Acute myocardial edema (AME) is increased water content in the myocardium and represents the first and transient pathophysiological response to an acute myocardial injury. In-vivo and non-invasive evaluation is feasible with cardiac magnetic resonance (CMR), which is a powerful imaging technique capable of tissue characterization. In the clinical setting, early demonstration of AME has a recognized diagnostic value for acute coronary syndromes and acute myocarditis, although its prognostic value is not well established. This article provides a comprehensive narrative review on the clinical meaning of AME in heart diseases. In particular, the available evidence of a possible favourable prognostic value in several clinical scenarios is addressed.

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