“Knowing that they had a heart attack may also persuade some people to adopt a healthier lifestyle with adequate physical exercise and no smoking,” he added.
While population screening to identify MI using CMR is not likely to be cost-effective or practical, Dr Acharya said shifting a proportion of cardiac evaluation from traditional tests to CMR could diagnose more unrecognised MI.
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He said: “Using CMR in patients with cardiac symptoms would likely detect many more heart attacks than traditional diagnostic tests. There are good therapies to treat survivors of MI so finding them early should improve prognosis.”
ENDS
SOURCES OF FUNDING: The study was sponsored by National Institutes on Aging, Icelandic Heart Association, and the National Heart, Lung, and Blood Institute.
DISCLOSURES: None.
References and notes
1The abstract ‘Long-term outcomes of unrecognized myocardial infarction in the elderly - Findings from the ICELAND MI study’ will be presented during Focus Session 2: CMR in Acute Coronary Syndromes on 2 February 2018 from 08:00 to 09:25 CET in Room 5.
2Unrecognised MIs are not detected by routine medical care either because patients did not know they had a heart attack, or did not seek hospital care for symptoms that may have represented a heart attack. In other words, they are sub-clinical events. Both ECG and CMR can pick up these events but CMR is a much more sensitive test to pick them up.
3Percentages do not add up to 100% due to rounding.
About CMR 2018
CMR 2018 is a joint EuroCMR and SCMR meeting organised by the European Association of Cardiovascular Imaging (EACVI), a registered branch of the European Society of Cardiology, and the Society for Cardiovascular Magnetic Resonance (SCMR).
About the European Association of Cardiovascular Imaging (EACVI)
The European Association of Cardiovascular Imaging (EACVI) - a registered branch of the ESC - is the world leading network of Cardiovascular Imaging (CVI) experts, gathering four imaging modalities under one entity (Echocardiography, Cardiovascular Magnetic Resonance, Nuclear Cardiology and Cardiac Computed Tomography).
Its aim is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging.
The EACVI welcomes almost 10 000 professionals including cardiologists, sonographers, nurses, basic scientists and allied professionals.
About the European Society of Cardiology
The ESC brings together health care professionals from more than 150 countries, working to advance cardiovascular medicine and help people to live longer, healthier lives.
