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Here, we evaluated the prognostic value of PET\/CMR in a porcine closed-chest reperfused AMI (rAMI) model. Late gadolinium enhancement by PET\/CMR imaging displayed tracer uptake defect at the infarction site by 3\u00a0days after the rAMI in the majority of the animals (group Match, <jats:italic>n<\/jats:italic>\u2009=\u200928). Increased [<jats:sup>18<\/jats:sup>F]FDG uptake at the infarcted area (metabolism\/contractility mismatch) with reduced tracer uptake in the remote viable myocardium (group Mismatch, <jats:italic>n<\/jats:italic>\u2009=\u200912) 3\u00a0days after rAMI was observed in the animals with larger infarct size and worse left ventricular ejection fraction (LVEF) (34\u2009\u00b1\u20098.7 vs 42.0\u2009\u00b1\u20095.2%), with lower LVEF also at the 1-month follow-up (35.8\u2009\u00b1\u20099.5 vs 43.0\u2009\u00b1\u20096.3%). Transcriptome analyses by bulk and single-nuclei RNA sequencing of the infarcted myocardium and border zones (<jats:italic>n<\/jats:italic>\u2009=\u20093 of each group, and 3 sham-operated controls) revealed a strong inflammatory response with infiltration of monocytes and macrophages in the infarcted and border areas in Mismatch animals. Our data indicate a high prognostic relevance of combined PET\/MRI in the subacute phase of rAMI for subsequent impairment of heart function and underline the adverse effects of an excessive activation of the innate immune system in the initial phase after rAMI.<\/jats:p>","DOI":"10.1007\/s00395-024-01064-y","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T10:06:56Z","timestamp":1719396416000},"page":"807-829","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Increased [18F]FDG uptake in the infarcted myocardial area displayed by combined PET\/CMR correlates with snRNA-seq-detected inflammatory cell invasion"],"prefix":"10.1007","volume":"119","author":[{"given":"Dominika","family":"Lukovic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7083-2107","authenticated-orcid":false,"given":"Mariann","family":"Gy\u00f6ngy\u00f6si","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imre J.","family":"Pavo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Mester-Tonczar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Einzinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Zlabinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Kastner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Spannbauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Traxler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noemi","family":"Pavo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Goliasch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dietmar","family":"Pils","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andras","family":"Jakab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsuzsanna","family":"Szankai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ina","family":"Michel-Behnke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvan","family":"Devaux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senta","family":"Graf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dietrich","family":"Beitzke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Winkler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"issue":"1047","key":"1064_CR1","doi-asserted-by":"publisher","first-page":"20140470","DOI":"10.1259\/bjr.20140470","volume":"88","author":"A Abbas","year":"2015","unstructured":"Abbas A, Matthews GH, Brown IW, Shambrook JS, Peebles CR, Harden SP (2015) Cardiac MR assessment of microvascular obstruction. 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