Cardiac MR detection of late microvascular obstruction and intramyocardial hemorrhage in predicting MACE in AMI after reperfusion therapy: Meta-analysis
10.13929/j.1672-8475.201810009
- Author:
Jian ZENG
1
Author Information
1. Department of Radiology, Yongchuan Hospital of Chongqing Medical University
- Publication Type:Journal Article
- Keywords:
Intramyocardial hemorrhage;
Magnetic resonance imaging;
Meta-analysis;
Microvascular obstruction;
Myocardial infarction
- From:
Chinese Journal of Interventional Imaging and Therapy
2019;16(4):215-219
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the predictive value of late microvascular obstruction (MVO) and intramyocaedial hemorrhage (IMH) detected with cardiac MR (CMR) for the major adverse cardiovascular events (MACE) in patients with myocardial infarction (AMI) after reperfusion therapy with Meta-analysis. Methods A systematic search was conducted in databases of PubMed, Embase, Web of Science, CNKI, VIP and Wanfang. The literature published before October 2018 were screened according to inclusion and exclusion criteria. Statistical analysis and quality evaluation were performed using RevMan 5.3 and STATA 15.1 software. Results A total of 11 articles were enrolled. Among them, 9 articles related to late MVO with a total of 1 872 patients, and 4 related to IMH with a total of 1 017 patients. Odd ratio (OR) of late MVO detected with CMR predicting MACE occurrence was 4.04 (95%CI [2.95, 5.55], Z=8.65, P<0.001), of IMH detected with CMR predicting MACE occurrence was 2.66 (95%CI [1.78, 3.96], Z=4.79, P<0.001). Conclusion The late MVO and IMH detected with CMR after AMI reperfusion therapy can be used to predict MACE during the follow-up.
