INFORMATION

Date: 27-29 November 2008

Fax: +36-1-4586842
Email: symposium@kardio.sote.hu
Visit the homepage of the Heart Center.
CONFERENCE NEWS
Symposium lectures on-line
20 February, 2009
Most of the lectures of the Symposium were published on-line. You can find the video presentations at the top of each lecture abstract. We hope to complete the whole on-line program in the near feature.
Pictures of Semmelweis Symposium 2008
1 January, 2009
You can find the pictures of all the three days of Semmelweis Symposium 2008 here.
Lecture of Prof. Sándor Kovács
31 December, 2008
You can find the whole video-presentation of Prof. Sándor Kovács at "Lectures" on the following page.
Summary
30 November, 2008
More than 500 participants from 20 countries attended Semmelweis Symposium 2008. You can find a detailed summary of the event here. A summary of press echo in the Hungarian media you can find here.
Poster abstracts
27 November, 2008
You can find the poster abstracts of Semmelweis Symposium 2008 here.
Scientific Program - printable version
23 November, 2008
You can download the printable version of the Scientific Program here.
Cardiovascular pharmacogenomics course
22 November, 2008
According to the program of Semmelweis Symposium, Peter Pokreisz (Katholieke Universiteit Leuven, Belgium) will give a lecture (in Hungarian) on cGMP regulatory mechanisms in cardiology at 18:00 Wednesday, 26 November.
Abstract submission period extended
14 November 2008
The deadline for abstract submission was extended until 18 November 2008. More detailes on the Abstract submission form.
On-line registration
4 November. 2008
Participation in the program of Semmelweis Symposium 2008 is free.
However, completion the on-line registration form is required to attend the Symposium.
Abstract submission for poster presentation
3 November, 2008
Abstracts for poster presentation are welcome to the Semmelweis Symposium. Deadline for abstract submission  is 15 November. More detailes on the Abstract Submission Form.
PhD course registration
2 November, 2008
Semmelweis Symposium 2008 was accredited by the School of Doctoral Studies of Semmelweis University. Students attending all the three days of the Symposium will get 2 PhD credits.
OFTEX registration
2 November, 2008
Semmelweis Symposium 2008 was registred to the OFTEX system. Colleagues attending all the three days of the Symposium will get 20 OFTEX credits. For detailed information look for SE-TK/2008-07/00383 at www.oftex.hu .
Final program
30 October, 2008
The final program of the Symposium has been completed. For detailes visit to the Scientific Program pages.
Current trends in Cardiology
18 August. 2008
This year cardiology is in the focus of Semmelweis Symposium. The members of the Heart Center take the opportunity to kindly invite you to this event.
Scientific Program | Pictures | Lectures | Posters | Location

The role of magnetic resonance imaging in patients with ST-elevation, positive cardiac biomarkers and normal coronary angiography


  • Hajnalka Vágó, Attila Tóth, Péter Takács, Dávid Becker, György Szabó, *Levente Tóth, *Tamás Simor, Béla Merkely
  • Semmelweis University Budapest Heart Center, *Heart Institute, Faculty of Medicine, University of Pécs,
Approximately 5% of coronary angiographies performed due to acute coronary syndrome fail to reveal organic coronary disease. However, infarction, cardiomyopathy or often peri/myocarditis may be the cardiac cause. In some cases currently applied diagnostic procedures are not informative enough in the diagnosis of underlying disease.  From 835 consecutive patients underwent coronary angiography because of sustained chest pain, typical ST- elevation and positive troponin-T values, in 18 patients (16 males, 2 females, mean age: 30.8±11.3 years) coronary angiography failed to reveal organic coronary disease. Magnetic resonance imaging (MRI) was performed in the first 1-5 days to confirm the underlying heart disease. In long and short axis planes ECG synchronized bSSFP and T2-weighted fat suppressed (STIR) spin-echo and delayed contrast enhancement images were taken. Left ventricular end-diastolic and end-systolic volumes, ejection fraction, mass, wall motion disturbances were evaluated using bSSFP images. Regions with oedema were identified on STIR images. On delayed contrast enhancement (DE) images exact identification of extent of damaged myocardium was performed. Results of MRI examinations confirmed the suspicion of myocarditis in 12 patients. Main MRI features of myocarditis were as follows, subepicardial oedema in 11 cases, and subepicardial delayed contrast enhancement in 12 cases. In three patients MRI proved subendocardial or transmural oedema and delayed enhancement, typical for infarction. During follow-up of patients with myocarditis (8-12 weeks, 6th month) oedema disappeared, delayed contrast enhancement remained in two patients. In cases of clinical features of ST-elevation infarction and normal coronary angiography, MRI can prove the diagnosis. In delayed contrast enhancement MRI images, demonstration of myocardial damage caused by infarction or myocarditis is possible. Due to their different MRI characteristics, the two diseases can be safely differentiated.
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