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01-04-2008 | CLINICAL CORRESPONDENCE

Cardiac magnetic resonance imaging: an essential diagnostic aid in suspected myocardial re-infarction in a 40 year old woman

Authors: Priv. Doz Dr. Günter Pilz, MD, FESC, Peter Bernhardt, MD, Elisabeth Harrer, MD, Markus Klos, MD, Berthold Höfling, MD, FESC

Published in: Clinical Research in Cardiology | Issue 4/2008

Excerpt

Sirs: We report the case of a 40-year-old woman who presented with acute central chest pain and dyspnoea mimicking acute myocardial infarction (MI). Two years previously she had been diagnosed in another hospital with an acute non-ST-elevation MI (NSTEMI) resulting from a presumed coronary spasm induced by anti-migraine medication. …

Abdel-Aty H, Boyé P, Zagrosek A, Wassmuth R, Kumar A, Messroghli D, Bock P, Dietz R, Friedrich MG, Schulz-Menger J (2005) Diagnostic performance of cardiovascular magnetic resonance in patients with suspected acute myocarditis. J Am Coll Cardiol 45:1815–1822PubMedCrossRef

Arai AE (2007) False positive or true positive troponin in patients presenting with chest pain but ‘normal’ coronary arteries: lessons from cardiac MRI. Eur Heart J 28:1175–1177PubMedCrossRef

Assomull RG, Lyne JC, Keenan N, Gulati A, Bunce NH, Davies SW, Pennell DJ, Prasad SK (2007) The role of cardiovascular magnetic resonance in patients presenting with chest pain, raised troponin, and unobstructed coronary arteries. Eur Heart J 28:1242–1249PubMedCrossRef

Beek AM, Kühl HP, Bondarenko O, Twisk JWR, Hofman MBM, van Dockum WG, Visser CA, van Rossum AC (2003) Delayed contrast-enhanced magnetic resonance imaging for the prediction of regional functional improvement after acute myocardial infarction. J Am Coll Cardiol 42:895–901PubMedCrossRef

Bellenger NG, Peebles C, Harden S, Dawkins K, Curzen N (2007) Troponin positive chest pain with unobstructed coronary arteries: a role for delayed enhanced cardiovascular magnetic resonance in the diagnosis of non-ST elevation myocardial infarction. J Cardiovasc Magn Reson 9:159–160

Bernhardt P, Levenson B, Engels T, Strohm O (2006) Contrast-enhanced adenosine-stress magnetic resonance imaging - feasibility and practicability of a protocol for detection or exclusion of ischemic heart disease in an outpatient setting. Clin Res Cardiol 95:461–467PubMedCrossRef

Costantini M, Tritto C, Licci E, Sticchi G, Montinaro A, Bruno A, Nuzzaci G, Picano E (2005) Myocarditis with ST-elevation myocardial infarction presentation in young man. A case series of 11 patients. Int J Cardiol 101:157–158PubMedCrossRef

Friedrich MG, Strohm O, Schulz-Menger J, Marciniak H, Luft FC, Dietz R (1998) Contrast media-enhanced magnetic resonance imaging visualizes myocardial changes in the course of viral myocarditis. Circulation 97:1802–1809PubMed

Garcia-Pavia P, Aguiar-Souto P, Silva-Melchor L, Cavero MA, Pastrana M, Goicolea J, Alonso-Pulpón (2006) Cardiac magnetic resonance imaging in the diagnosis of myocarditis mimicking myocardial infarction. Int J Cardiol 112:e27–e29

10.

Haghi D, Suselbeck T, Fluechter S, Kalmar G, Schroder M, Kaden JJ, Poerner T, Borggrefe M, Papavassiliu T (2006) A hybrid approach for quantification of aortic valve stenosis using cardiac magnetic resonance imaging and echocardiography: comparison to right heart catheterization and standard echocardiography. Clin Res Cardiol 95:162–167PubMedCrossRef

11.

Ingkanisorn WP, Rhoads KL, Aletras AH, Kellman P, Arai AE (2004) Gadolinium delayed enhancement cardiovascular magnetic resonance correlates with clinical measures of myocardial infarction. J Am Coll Cardiol 43: 2253–2259PubMedCrossRef

12.

Kim RJ, Fieno DS, Parrish TB, Harris K, Chen EL, Simonetti O, Bundy J, Finn JP, Klocke FJ, Judd RM (1999) Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age, and contractile function. Circulation 100:1992–2002PubMed

13.

Kontogianni DD, Kouris NT, Papoulia EP, Goranitou GS, Grassos HA, Babalis DK (2007) Discordance between echocardiographic and MRI findings in two cases of acute myocarditis mimicking myocardial infarction. Int J Cardiol 114:e21–e23PubMedCrossRef

14.

Laissy JP, Hyafil F, Feldman LJ, Juliard JM, Schouman-Claeys E, Steg PG, Farragi M (2005) Differentiating acute myocardial infarction from myocarditis: diagnostic value of early and delayed perfusion cardiac MR imaging. Radiology 237:75–82PubMedCrossRef

15.

Mahrholdt H, Goedecke C, Wagner A, Meinhardt G, Athanasiadis A, Vogelsberg H, Fritz P, Klingel K, Kandolf R, Sechtem U (2004) Cardiovascular magnetic resonance assessment of human myocarditis. Circulation 109:1250–1258PubMedCrossRef

16.

Pilz G, Bernhardt P, Klos M, Ali E, Wild M, Höfling B (2006) Clinical implication of adenosine-stress cardiac magnetic resonance imaging as potential gatekeeper prior to invasive examination in patients with AHA/ACC class II indication for coronary angiography. Clin Res Cardiol 95:531–538PubMedCrossRef

17.

Schulz-Menger J, Gross M, Messroghli D, Uhlich F, Dietz R, Friedrich MG (2003) Cardiovascular magnetic resonance of acute myocardial infarction at a very early stage. J Am Coll Cardiol 42:513–518PubMedCrossRef

18.

Skouri HN, Dec W, Friedrich MG, Cooper LT (2006) Noninvasive imaging in Myocarditis. J Am Coll Cardiol 48:2085–2093PubMedCrossRef

19.

Testani JM, Kolansky DM, Litt H, Gerstenfeld EP (2006) Focal myocarditis mimicking acute ST-elevation myocardial infarction. Tex Heart Inst J 33:256–259PubMed

20.

Zeymer U, Zahn R, Hochadel M, Bonzel T, Weber M, Gottwik M, Tebbe U, Senges J (2005) Indications and complications of invasive diagnostic procedures and percutaneous coronary interventions in the year 2003. Results of the quality control registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte (ALKK). Z Kardiol 94:392–398PubMedCrossRef

Title: Cardiac magnetic resonance imaging: an essential diagnostic aid in suspected myocardial re-infarction in a 40 year old woman
Authors: Priv. Doz Dr. Günter Pilz, MD, FESC
Peter Bernhardt, MD
Elisabeth Harrer, MD
Markus Klos, MD
Berthold Höfling, MD, FESC
Publication date: 01-04-2008
Publisher: D. Steinkopff-Verlag
Published in: Clinical Research in Cardiology / Issue 4/2008
Print ISSN: 1861-0684
Electronic ISSN: 1861-0692
DOI: https://doi.org/10.1007/s00392-007-0632-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cardiac magnetic resonance imaging: an essential diagnostic aid in suspected myocardial re-infarction in a 40 year old woman

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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