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Abstract #3958

Area at risk identified by T2 mapping is influenced by the severity of the initial ischemic insult in acute myocardial infarction

Nilesh R Ghugre 1,2 , Reuben Thomas 3,4 , Kevin Thai 1 , Jennifer Barry 1 , Beiping Qiang 3 , Bradley H Strauss 3,5 , and Graham A Wright 1,6

1 Physical Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada, 2 Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3 Biological Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada, 4 Department of Laboratory Medicine and Pathobiology, University of Toronto, ON, Canada, 5 Schulich Heart Research Program, Sunnybrook Health Sciences Centre, ON, Canada, 6 Department of Medical Biophysics, University of Toronto, ON, Canada

Recent studies have demonstrated that an elevated T2 signal can delineate the area at risk (AAR) post acute myocardial infarction. However, it has been questioned whether the T2 elevation simply identifies the infarcted myocardium rather than the true AAR and whether edema is indeed present in the salvageable region. The purpose of the study was to assess whether T2-based AAR is influenced by the severity of myocardial injury, particularly by microvascular obstruction. Our study demonstrates that assessment of AAR by T2 is affected by the degree of myocardial damage, suggesting that edema extent may be modulated by infarct size.

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