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Table 1 Clinical studies of CMR MO

From: CMR of microvascular obstruction and hemorrhage in myocardial infarction

Study

Method of MO assessment

Imaging time post-MI

Prevalence of MO

Findings

Positive studies

Wu et al.[43] N = 44

· Early (yes/no)

10 days

25%

MO predicted MACE at 16 mos. independently of infarct size

Hombach et al.[20] N = 110

· LGE (yes/no)

6 days

46%

Late MO predicted MACE at 7.5 mos., independently of LVEF, LVEDV, infarct size

Bruder et al.[44] N = 67

· EGE

5 days

61%

EGE MO > 0.5% predicted 1-yr MACE independently of LVEF & infarct size

Cochet et al.[45] N = 184

· First-pass LGE

3-7 days

69% (FP)

Late MO predicted 1-yr MACE independently of LVEF & infarct size

47% (LGE)

De Waha et al.[46] N = 408

· EGE LGE

3 days

81% (FP)

Late MO (presence/amount) better predicted MACE at 19 mos. with incremental value over LVEF & infarct size

73% (LGE)

Negative studies

Bodi et al.[47] N = 214

· LGE (yes/no)

7 days

31%

Infarct transmural extent & wall motion score independently predicted MACE at 1.5 years.

Larose et al.[48] N = 103

· First-pass

<12 h

Not reported

Infarct size was the strongest predictor of 6 mo. LVEF & 2-yr MACE

  

6 months

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