Cardiology - Imaging

Question 1

Cardiac MRI

- what is late GAD enhancement good for?

Answer 1

In infarction late GAD correlates well with histology

Question 2

Cardiac MRI

- what is T2 (STIR) good for?

Answer 2

Highlights oedema

Question 3

Cardiac MRI

- what would you look for on myocardial iron quantification?

Answer 3

Iron deposits

Evidence of thalassaemia

Question 4

Cardiac MRI

- use of stress perfusion cardiac MRI?

Answer 4

Use vasodilator stress with adenosine and offers PROGNOSTIC information

Question 5

In HOCM is MRI or echo better?

Answer 5

MRI is MORE SENSITIVE

This is because on echo the LV regions are often missed such as apical, anterolateral and inferoseptal

It is also good at differentiating from HOCM mimics

Question 6

What (5) things is CACS superior to?

Answer 6

• high sensitivity CRP
• ankle brachial index
• Carotid imaging
• BNP
• microalbuminaemia

Question 7

CACs improves which risk factor control?

Answer 7

• reduces LDL
• improves BP
• weight loss
• better adherence to statins