CARDIAC MRI IN EVALUATION POSTINFARCTION CHANGES AND ITS ROLE IN DETERMINING THE REVASCULARIZATION TACTICS
The article provides a review of data on the use of cardiac magnetic resonance imaging (CMRI) of the heart with contrast enhancement in the determination of structural and functional changes in the myocardium before revascularization procedures in patients after infarct. The possibility of using the results of MRI in the assessment of the depth and extent of postinfarction cardiosclerosis forecast for recovery of regional and global left ventricular contractility after restoration of coronary blood flow. Determine the value of late enhancement contrast to address the appropriateness of revascularization procedures. Absence or presence of scarring lesions and more than half of the cross-sectional wall of left ventricular can be used as a criterion for determining the need for intervention, without exposure to the patient load tests. The article presents a version of the algorithm selection of patients for endovascular intervention or coronary artery bypass surgery by using СMRI data from the position the forecast recovery of contractile function of the myocardium.