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Diagnostics
Special Issues
Diagnostic Imaging in Coronary Artery Disease
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Diagnostic Imaging in Coronary Artery Disease

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: closed (31 January 2024) | Viewed by 2008

Special Issue Editor

Prof. Dr. Carlo Caiati

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Guest Editor
Cardiovascular Division, University of Bari, 70123 Bari, Italy
Interests: cardiomyopathy; prognosis; echocardiography; systolic and diastolic cardiac function; long term outcome; cardiac transplantation; heart failure
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Coronary artery disease (CAD) is a major problem in westernized countries, and is unfortunately on the rise. Therefore, there is a need to evaluate this problem with a practical and effective approach that is not harmful to patients. Nowadays, imaging is rapidly evolving due to the many applications of artificial intelligence, modern MRI sequences and CT imaging, to name only a few.

Thus, a constant update on innovations and practical guidance for diagnostic applications is the aim of this Special Issue in Diagnostics. Here, we want to understand diagnostic decisions, derive treatment-guiding and prognostic information, and assess treatment responses and complications. We want to uncover techniques that allow for more precise pathology analysis and discover new imaging modalities for old diseases and novel applications of longstanding methods. The ultimate aim is to improve the diagnosis and care for our patients. This Special Issue of Diagnostics focuses on “Diagnostic Imaging in Coronary Artery Disease” and invites submissions on future possibilities, recent advances, emerging approaches and best up-to-date guidance for CAD imaging.

Prof. Dr. Carlo Caiati
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • coronary artery disease
  • computed tomography
  • magnetic resonance imaging
  • artificial intelligence
  • ultrasound

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Published Papers (1 paper)

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Research

16 pages, 1590 KiB  
Article
Subtle Changes in Myocardial Work Indices Assessed by 2D-Speckle Tracking Echocardiography Are Linked with Pathological LV Remodeling and MACEs Following an Acute Myocardial Infarction Treated by Primary Percutaneous Coronary Intervention
by Diana-Aurora Arnautu, Alexandru Gheorghiu, Sergiu-Florin Arnautu, Mirela-Cleopatra Tomescu, Claudiu-Daniel Malita, Christian Banciu, Cristina Vacarescu, Ioana Ionac, Silvia Luca, Dragos Cozma, Cristian Mornos, Dan Gaita and Constantin-Tudor Luca
Diagnostics 2023, 13(19), 3108; https://doi.org/10.3390/diagnostics13193108 - 30 Sep 2023
Cited by 3 | Viewed by 1569
Abstract
The goal of this study was to assess whether subtle changes in myocardial work indices may predict left ventricular (LV) remodeling and major cardiac events (MACEs) in patients with a first ST-elevation acute myocardial infarction (STEMI) and preserved LVEF after successful myocardial revascularization [...] Read more.
The goal of this study was to assess whether subtle changes in myocardial work indices may predict left ventricular (LV) remodeling and major cardiac events (MACEs) in patients with a first ST-elevation acute myocardial infarction (STEMI) and preserved LVEF after successful myocardial revascularization with PCI. Methods. Consecutive STEMI patients in sinus rhythm and with an LV ejection fraction ≥ 50% following a successful PCI were recruited. Conventional and two-dimensional speckle tracking echocardiography (2D-STE) was conducted within 36 h of the PCI and 3 months later. Patients having an increase of more than 20% in LV diastolic volume were included in the LV remodeling group. MACEs were noted throughout a four-year period of follow-up. Results: The study comprised 246 STEMI patients with a mean age of 66; 72% of whom were men. In 24% (58) of the patients, LV remodeling developed. These patients were older, more frequently hypertensive, and had a smoking history. They also exhibited significantly lower baseline and 3-month values for the myocardial global index (GWI), global constructive work (GCW), and global myocardial efficiency (GWE). The cut-off values of 1670 mmHg% for GWI and 83% for GWE were predictive of LV remodeling (p < 0.0001). During the four-year follow-up period, 19% of STEMI patients experienced a MACE, involving 15% from non-LV remodelers and 34% from LV remodelers (p = 0.01). The cut-off values for baseline GWI of 1680 mmHg% and baseline GWE of 84% had the best accuracy in predicting MACEs. In conclusion, non-invasive myocardial work indices offered a reproducible and accurate method to predict post-MI LV remodeling and MACEs. Full article
(This article belongs to the Special Issue Diagnostic Imaging in Coronary Artery Disease)
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