Abstract

Purpose: Troponin positive acute coronary syndromes (ACS) are usually related to disruption of an atherosclerotic coronary plaque. However, a subgroup of these patients do not have an identifiable culprit lesion at angiography. Establishing a diagnosis in these patients is vital to ensure they receive appropriate treatment. We examine the diagnostic value of cardiac magnetic resonance (CMR) in these patients. Methods: CMR (1.5 T) was performed in consecutive patients presenting with a troponin positive ACS, without obvious culprit coronary lesions at angiography. All patients underwent CMR with cine-SSFP, T2-weighted, and late gadolinium enhancement imaging. Clinical demographics, peak Troponin I (TnI) and imaging data were collected.

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