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Updated: Apr 15, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

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Value of cardiac MRI to evaluate ischemia-related ventricular arrhythmia substrates

Alain Nchimi1, Laurent Davin, Andreas Georgiopoulos

  • 1Department of Cardiology and Radiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, University Hospital Sart Tilman, Liège, Belgium.

Expert Review of Cardiovascular Therapy
|April 1, 2015
PubMed

Insights

Cardiac magnetic resonance imaging effectively evaluates ventricular arrhythmia risks after myocardial infarction by assessing myocardial injury, scars, and remodeling. This technology provides a comprehensive patient-specific risk assessment for arrhythmias post-heart attack.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Myocardial ischemia-reperfusion can lead to ventricular arrhythmias (VA).
  • Potential VA substrates may involve subtle or significant cardiac changes.
  • Individual susceptibility influences VA development post-myocardial infarction.

Purpose of the Study:

  • To describe and discuss imaging strategies for evaluating VA substrates after myocardial infarction.
  • To highlight the role of cardiac magnetic resonance in assessing VA risk.
  • To provide a patient-specific approach to VA risk evaluation.

Main Methods:

  • Utilizing cardiac magnetic resonance (CMR) for comprehensive evaluation.
  • Employing cine imaging to assess myocardial function and acute injuries.
  • Using tissue characterization imaging to detect scars and remodeling.

Main Results:

  • CMR is a reference standard for evaluating myocardial function and properties.
  • CMR effectively detects and quantifies acute myocardial injuries, scars, and remodeling.
  • CMR provides a toolset for patient-specific VA risk assessment post-myocardial infarction.

Conclusions:

  • Cardiac magnetic resonance is highly effective for evaluating VA risk after myocardial infarction.
  • CMR imaging strategies comprehensively assess myocardial substrates for VA.
  • A patient-specific approach using CMR aids in managing VA post-myocardial infarction.
Keywords:
cardiac magnetic resonanceischemiamyocardial infarctionventricular arrhythmiaventricular tachycardia

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