Neobvyklé využití vyšetření magnetickou rezonancí pro stanovení diagnózy infarktu myokardu
| Title in English | Unusual use of magnetic resonance imaging in diagnosis of myocardial infarction |
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| Authors | |
| Year of publication | 2011 |
| Type | Article in Periodical |
| Magazine / Source | Cor et Vasa |
| MU Faculty or unit | |
| Citation | |
| Field | Cardiovascular diseases incl. cardiosurgery |
| Keywords | Magnetic resonance; Acute myocardial infarction; Contrast medium |
| Description | Due to a very rapid recent development of magnetic resonance technologies, this imaging modality can now be used more often in an important part of patients with cardiovascular diseases. The spectrum of diagnoses, in which magnetic resonance imaging offers much better or even entirely new information about heart anatomy, function and perfusion, has been widening. Late post-contrast enhancement represents one of the options in myocardial imaging. Our case-report demonstrates the possible use of magnetic resonance imaging in a rather atypical indication – in a patient with burning chest pain and mild positivity of cardiac necrosis markers but without electrocardiographic changes consistent with acute myocardial infarction and with no coronary artery stenoses. Echocardiography failed to reveal any significant pathology, CT angiography scan of the pulmonary artery excluded acute pulmonary embolism. Uncertainties about definite diagnosis were only resolved using magnetic resonance imaging which showed a non-transmural scar in the middle and apical segments of the left ventricular lateral wall. |
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