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Chronic Myocardial Infarction
Suhny Abbara, MD, FACR, FSCCT; Michael T. Lu, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Diagnostic Checklist

        TERMINOLOGY

        • Synonyms

          • Remote infarct
        • Definitions

          • ≥ 8 weeks after acute mycoardial infarction (MI)

        IMAGING

        • General Features

          • Imaging Recommendations

            • Radiographic Findings

              • MR Findings

                • CT Findings

                  • Echocardiographic Findings

                    • Nuclear Medicine Findings

                      • Angiographic Findings

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Moore A et al: Acute Myocardial Infarct. Radiol Clin North Am. 57(1):45-55, 2019
                                    2. Moore A et al: Chronic Infarcts and mimickers of infarcts. Radiol Clin North Am. 57(1):57-65, 2019
                                    3. Rajiah P et al: MR imaging of myocardial infarction. Radiographics. 33(5):1383-412, 2013
                                    4. Kim HW et al: Cardiovascular magnetic resonance in patients with myocardial infarction: current and emerging applications. J Am Coll Cardiol. 55(1):1-16, 2009
                                    5. Saeed M et al: Discrimination of myocardial acute and chronic (scar) infarctions on delayed contrast enhanced magnetic resonance imaging with intravascular magnetic resonance contrast media. J Am Coll Cardiol. 48(10):1961-8, 2006
                                    6. Kramer CM et al: Dissociation between changes in intramyocardial function and left ventricular volumes in the eight weeks after first anterior myocardial infarction. J Am Coll Cardiol. 30(7):1625-32, 1997
                                    7. White HD et al: Left ventricular end-systolic volume as the major determinant of survival after recovery from myocardial infarction. Circulation. 76(1):44-51, 1987
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Diagnostic Checklist

                                          TERMINOLOGY

                                          • Synonyms

                                            • Remote infarct
                                          • Definitions

                                            • ≥ 8 weeks after acute mycoardial infarction (MI)

                                          IMAGING

                                          • General Features

                                            • Imaging Recommendations

                                              • Radiographic Findings

                                                • MR Findings

                                                  • CT Findings

                                                    • Echocardiographic Findings

                                                      • Nuclear Medicine Findings

                                                        • Angiographic Findings

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • Gross Pathologic & Surgical Features

                                                              • Microscopic Features

                                                                CLINICAL ISSUES

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Moore A et al: Acute Myocardial Infarct. Radiol Clin North Am. 57(1):45-55, 2019
                                                                      2. Moore A et al: Chronic Infarcts and mimickers of infarcts. Radiol Clin North Am. 57(1):57-65, 2019
                                                                      3. Rajiah P et al: MR imaging of myocardial infarction. Radiographics. 33(5):1383-412, 2013
                                                                      4. Kim HW et al: Cardiovascular magnetic resonance in patients with myocardial infarction: current and emerging applications. J Am Coll Cardiol. 55(1):1-16, 2009
                                                                      5. Saeed M et al: Discrimination of myocardial acute and chronic (scar) infarctions on delayed contrast enhanced magnetic resonance imaging with intravascular magnetic resonance contrast media. J Am Coll Cardiol. 48(10):1961-8, 2006
                                                                      6. Kramer CM et al: Dissociation between changes in intramyocardial function and left ventricular volumes in the eight weeks after first anterior myocardial infarction. J Am Coll Cardiol. 30(7):1625-32, 1997
                                                                      7. White HD et al: Left ventricular end-systolic volume as the major determinant of survival after recovery from myocardial infarction. Circulation. 76(1):44-51, 1987