Recovery of left ventricular dysfunction after ST-elevation myocardial infarction: comparison between 2D Doppler echocar

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Recovery of left ventricular dysfunction after ST-elevation myocardial infarction: comparison between 2D Doppler echocardiography and contrast enhanced cardiac MRI Daniel M Couri1*, Matthew W Martinez2, Imran S Syed3, Scott Harris4, James Glockner3, Phillip A Aroaz3, Abhiram Prasad3, Charanjit S Rihal3, Jae K Oh3 From 2011 SCMR/Euro CMR Joint Scientific Sessions Nice, France. 3-6 February 2011 Background The role of contrast enhanced cardiac MRI (ceMRI) in predicting recovery of left ventricular dysfunction is evolving; yet transthoracic echocardiography (TTE) has not been evaluated in this manner. Methods Patients with acute ST-elevation MI (STEMI) admitted to Mayo Clinic from August, 2007 to September, 2008 who received reperfusion therapy were screened with TTE and ceMRI. Patients with ceMRI evidence of a previous MI were excluded. Left ventricular dysfunction was defined as an ejection fraction (LVEF) < 50%. Results Of 116 patients screened, 91 met inclusion criteria and 56 patients completed follow-up imaging (3-79 weeks). 89% of both the imaging studies were completed within 3 days of the index MI and 32 (57%) patients had a baseline LVEF