©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Jun 28, 2017; 9(6): 280-286
Published online Jun 28, 2017. doi: 10.4329/wjr.v9.i6.280
Published online Jun 28, 2017. doi: 10.4329/wjr.v9.i6.280
Cardiac magnetic resonance in patients with acute cardiac injury and unobstructed coronary arteries
Giovanni Salvatore Camastra, Stefano Sbarbati, Massimiliano Danti, Luca Cacciotti, Raffaella Semeraro, Sabino Walter Della Sala, Gerardo Ansalone, Department of Cardiology and of Radiology M.G.Vannini Hospital, 00177 Roma, Italy
Author contributions: Camastra GS, Sbarbati S and Danti M performed the research and wrote the paper; Cacciotti L, Semeraro R, Della Sala SW and Ansalone G contributed to the analisys and supervised the report.
Institutional review board statement: This study was reviewed and approved by the Hospital review board. Ethics Committee approval is not requested for retrospective studies in our institution.
Informed consent statement: Patients were not required to give informed consent for participation in the study as the analyses used anonymous clinical data that were obtained after each patient agreed to treatment via written consent.
Conflict-of-interest statement: We have no financial relationship in disclosure.
Data sharing statement: No additional data are available.
Correspondence to: Giovanni Salvatore Camastra, MD, Department of Cardiology and of Radiology M.G.Vannini Hospital, via di acqua Bullicante 4, 00177 Roma, Italy. gcamastra@virgilio.it
Telephone: +39-062-4291386 Fax: +39-062-4291418
Received: January 4, 2017
Peer-review started: January 7, 2017
First decision: February 17, 2017
Revised: May 9, 2017
Accepted: May 18, 2017
Article in press: May 19, 2017
Published online: June 28, 2017
Processing time: 166 Days and 20.2 Hours
Peer-review started: January 7, 2017
First decision: February 17, 2017
Revised: May 9, 2017
Accepted: May 18, 2017
Article in press: May 19, 2017
Published online: June 28, 2017
Processing time: 166 Days and 20.2 Hours
Core Tip
Core tip: In some patients with suspected acute coronary syndrome and elevated Troponin, the subsequent coronary angiography reveals normal coronaries. These patients represent an obscure and difficult field of diagnosis and investigation. There are several potential causes of this uncertainty, such as myocardial infarction with a recanalized coronary artery, myocarditis, different cardiomyopathies, and other rare conditions. Cardiac magnetic resonance offers a new and more appropriate method in distinguishing between different chest pain etiologies.