A valuable cardiac magnetic resonance investigation after MINOCA/takotsubo Syndrome
- Myocardial infarction with non‐obstructive coronary arteries is a working diagnosis that includes takotsubo cardiomyopathy/syndrome (TTS). Cardiac magnetic resonance (CMR) is useful for establishing the underlying aetiology of myocardial infarction with non‐obstructive coronary arteries during the acute phase, but its role in follow‐up is less well established. A 35‐year‐old man with several cardiac risk factors presented 3 days after his sister's death with biochemical and clinical features of acute myocardial infarction without coronary artery obstruction on angiography but with diagnostic features of TTS on CMR, including oedema but no late gadolinium enhancement. Subsequent CMR 3 months later revealed left ventricular late gadolinium enhancement suggesting previous acute myocardial infarction. Although the initial diagnosis of TTS was robust according to established criteria, it remained uncertain whether the later ischaemic injury was related to an ischaemic event at presentation or occurred in the intervening period. Nevertheless, CMR may have an extended role in the follow‐up of these patients and may reveal additional, actionable pathology.
Author: | Snehasis PradhanORCiDGND, Nedall ZalloumGND, Gresa KcikuGND, Hans‑Joachim TrappeGND |
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URN: | urn:nbn:de:hbz:294-79134 |
DOI: | https://doi.org/10.1002/ehf2.12998 |
Parent Title (English): | ESC heart failure |
Subtitle (English): | a case report |
Publisher: | Wiley |
Place of publication: | Hoboken, New Jersey |
Document Type: | Article |
Language: | English |
Date of Publication (online): | 2021/02/26 |
Date of first Publication: | 2020/09/23 |
Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
Tag: | Open Access Fonds Cardiac magnetic resonance; Late gadolinium enhancement; MINOCA; Takotsubo |
Volume: | 7 |
Issue: | 6 |
First Page: | 4336 |
Last Page: | 4342 |
Note: | Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum. |
Institutes/Facilities: | Marienhospital Herne, Medizinische Klinik II, Kardiologie und Angiologie |
Dewey Decimal Classification: | Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit |
Licence (English): | Creative Commons - CC BY 4.0 - Attribution 4.0 International |