Multimodality Imaging of Sudden Cardiac Death and Acute Complications in Acute Coronary Syndrome.
Giuseppe MuscogiuriAndrea Igoren GuaricciNicola SoldatoRiccardo CauLuca SabaPaola SienaMaria Grazia TarsitanoElisa GiannettaDavide SalaPaolo SganzerlaMarco GattiRiccardo FalettiAlberto SenatieriGregorio ChierchiaGianluca PontonePaolo MarraMark G RabbatSandro SironiPublished in: Journal of clinical medicine (2022)
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.
Keyphrases
- acute coronary syndrome
- left ventricular
- coronary artery disease
- percutaneous coronary intervention
- end stage renal disease
- magnetic resonance
- cardiac arrest
- heart failure
- chronic kidney disease
- ejection fraction
- newly diagnosed
- prognostic factors
- antiplatelet therapy
- emergency department
- risk factors
- pulmonary hypertension
- healthcare
- computed tomography
- heart rate variability
- blood pressure
- intensive care unit
- cardiovascular disease
- patient reported outcomes
- liver failure
- photodynamic therapy
- respiratory failure
- patient reported
- contrast enhanced