Preliminary study: Myocardial T1 relaxation time in patients with ischemic findings and normal findings on coronary angiography Journal Article


Authors: Bulut, S. S. D.; Nurili, F.; Öztürkeri, B.; Sakci, Z.; Bukte, Y.; Aras, Ö
Article Title: Preliminary study: Myocardial T1 relaxation time in patients with ischemic findings and normal findings on coronary angiography
Abstract: OBJECTIVE: The aim of this study is to evaluate the myocardium structure in patients with chest pain who were determined to have moderate and/or high risk for cardiac ischemic heart disease (IHD) but who had normal findings on conventional coronary angiography by using native cardiac magnetic resonance imaging (CMRI) T1 mapping and comparing with healthy volunteers. METHODS: A total of 50 patients and 30 healthy volunteers who underwent CMRI were included in our prospective study. Patients whose clinical findings were compatible with stable angina pectoris, with moderate and/or high risk for IHD, but whose conventional coronary angiography was normal, were our patient group. Native T1 values were measured for 17 myocardial segments (segmented based on American Heart Association recommendations) by two radiologists independently. The data obtained were statistically compared with the sample t-test. RESULTS: Myocardial native T1 values were found to be significantly prolonged in the patient group compared with the control group (p<0.05). Inter-observer reliability for native T1 value measurements of groups was high for both patient and control groups (α = 0.92 for the patient group and 0.96 for the control group). CONCLUSION: Findings suggestive of ischemia were detected by T1 mapping in the myocardium of our patients. For this reason, it is recommended that this patient group should be included in early diagnosis and close follow-up assessments for IHD. © 2021 Associacao Medica Brasileira. All rights reserved.
Keywords: adult; clinical article; controlled study; follow up; magnetic resonance imaging; prospective study; controlled clinical trial; clinical assessment; high risk patient; thorax pain; radiologist; early diagnosis; cholesterol; echocardiography; electrocardiogram; ischemic heart disease; heart muscle ischemia; intrarater reliability; coronary angiography; heart scintiscanning; stable angina pectoris; relaxation time; gadoteric acid; cardiovascular magnetic resonance; human; male; female; article; cardiac muscle; t1 mapping; guerbet; iocarmic acid
Journal Title: Revista Da Associacao Medica Brasileira
Volume: 67
Issue: 3
ISSN: 0104-4230
Publisher: Assoc Medica Brasileira  
Date Published: 2021-03-01
Start Page: 418
End Page: 425
Language: English
DOI: 10.1590/1806-9282.20200864
PUBMED: 34468608
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 October 2021 -- Source: Scopus
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  1. Omer Aras
    75 Aras
  2. Fuad Nurili
    24 Nurili