Impact of extracardiac findings during cardiac MR on patient management and outcome.

Details

Serval ID
serval:BIB_6C1C746A7A0B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of extracardiac findings during cardiac MR on patient management and outcome.
Journal
Medical Science Monitor
Author(s)
Dunet V., Barras H., Boulanger X., Monney P., Qanadli S.D., Meuli R., Schwitter J., Beigelman-Aubry C.
ISSN
1643-3750 (Electronic)
ISSN-L
1234-1010
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
21
Pages
1288-1296
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: epublish
Abstract
BACKGROUND: Cardiac magnetic resonance (CMR) is increasingly used to assess heart diseases. Relevant non-cardiac diseases may also be incidentally found on CMR images. The aim of this study was to determine the prevalence and nature of incidental extra-cardiac findings (IEF) and their clinical impact in non-selected patients referred for CMR.
MATERIAL/METHODS: MR images of 762 consecutive patients (515 men, age: 56±18 years) referred for CMR were prospectively interpreted by 2 radiologists blinded for any previous imaging study. IEFs were classified as major when requiring treatment, follow-up, or further investigation. Clinical follow-up was performed by checking hospital information records and by calling referring physicians. The 2 endpoints were: 1) non-cardiac death and new treatment related to major IEFs, and 2) hospitalization related to major IEFs during follow-up.
RESULTS: Major IEFs were proven in 129 patients (18.6% of the study population), 14% of those being unknown before CMR. During 15±6 month follow-up, treatment of confirmed major IEFs was initiated in 1.4%, and no non-cardiac deaths occurred. Hospitalization occurred in 8 patients (1.0% of the study population) with confirmed major IEFs and none occurred in the remaining 110 patients with unconfirmed/unexplored major IEFs (p<0.001).
CONCLUSIONS: Screening for major IEFs in a population referred for routine CMR changed management in 1.4% of patients. Major IEFs unknown before CMR but without further exploration, however, carried a favorable prognosis over a follow-up period of 15 months.
Pubmed
Web of science
Create date
31/05/2015 9:31
Last modification date
20/08/2019 15:26
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