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European Heart Journal Advance Access originally published online on May 21, 2009
European Heart Journal 2009 30(12):1431-1433; doi:10.1093/eurheartj/ehp193
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Infarct haemorrhage detected by cardiac magnetic resonance imaging: are we seeing the latest culprit in adverse left ventricular remodelling?

Raymond Y. Kwong and Marc A. Pfeffer*

Cardiovascular Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA

* Corresponding author. Tel: +1 617 732 5500, Fax: +1 617 732 5291, E-mail: mapfeffer@bics.bwh.harvard.edu or mpfeffer@rics.bwh.harvard.edu

This editorial refers to ‘Impact of myocardial haemorrhage on left ventricular function and remodelling in patients with reperfused acute myocardial infarction’{dagger}, by J. Ganame et al., on page 1440

The first 150 words of the full text of this article appear below.

The force of the heart decreases ... as the greater number of its parts become tendinous instead of fleshy. De sedibus et causus morborum

G. B. Morgagni, 1761

All myocardial infarctions are not equal, and those that produce more extensive left ventricular topographical alterations are much more likely to result in premature morbidity and mortality. The advent of non-invasive cardiac imaging, particularly echocardiography, provided a temporal window to evaluate the dynamics of the structural alterations produced by a myocardial infarction. In the late 1970s, infarct expansion was defined as an acute dilatation and thinning of the infarcted region leading to an elongation of that segment which was not accounted for by further necrosis.1 This early change in ventricular contour often leading to an aneurysm identified patients at higher risk for early mortality and other infarct complications. In animal models, it became apparent that the early distortion of ventricular architecture in . . . [Full Text of this Article]


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Related articles in EHJ:

Impact of myocardial haemorrhage on left ventricular function and remodelling in patients with reperfused acute myocardial infarction
Javier Ganame, Giancarlo Messalli, Steven Dymarkowski, Frank E. Rademakers, Walter Desmet, Frans Van de Werf, and Jan Bogaert
EHJ 2009 30: 1440-1449. [Abstract] [Full Text]