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Interventional Cardiology  (Expert Forum)
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now you see it now you don't!!
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Truman Medical Center MO
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.

now you see it now you don't!!

by coco74, Dec 09, 2008 03:57PM
thanks for your reply but would just like to ask the following questions to clear things up a bit:

1.  Is it possible to see clear shunting on a bubble echo and then an MRI determine no ASD's or shunt?

Hence... Do bubble echo's sometimes produce false positives?

3. would you use a normal MRI or contrast enhanced MRI to detect a shunt?

4. Can a normal MRI (non contrast) produce false negatives in ASD detection?

Thank you I apppreciate your time.

by Douglas Bogart, MD, Dec 10, 2008 08:46AM
To: coco74
You can have a PFO which is demonstrated on the echo but the MRI tests for damage to the brain ie, it checks for small strokes.  Since about one in four people have a PFO and PFO's are a rare cause of strokes it is very plausible to have a PFO with no evidence of a stroke.  I think the confusion here is that the 2 tests MRI and echo look at different things.
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