• Join/Renew
  • Contact
    Contact Us
    19 Mantua Road, Mt. Royal,
    NJ 08061, U.S.A.
    Phone: 856-423-8955
    Fax: 856-423-3420
    E-Mail: hq@scmr.org

Number 07-12: Troponin +ve Chest pain, normal coronaries


Case from: Andrew Flett, Mark Westwood, Simon Kennon. Department of cardiology, The Heart Hospital, London, UK and Chase Farm Hospital, London UK.

Clinical: 6 months ago, a 48 year old body builder had troponin positive chest pain with inferior T wave inversion on ECG and normal coronary angiography. Echo had suggested possible inferior hypokinesia. Ongoing clinical uncertainty.

CMR findings:
1.Normal global LV function
2.Minor inferior wall hypokinesia
3.Inferior wall partial thickness late gadolinium enhancement in the distribution of the right coronary artery

CMR resolved clinical uncertainty in this case of occult MI with normal epicardial arteries. CMR provides a diagnosis in more than 50% of such patients, particularly myocarditis or missed MI. In this case, spontaneous coronary dissection, transient thrombotic occlusion (with or without plaque rupture, but without residual stenosis) or a vasospastic aetiology are possible causes.

Scanner: Siemens Avanto

Bellenger NG ET AL. J Inves Cardio let al; 2006;18:594-8

Assomull RG et al. E Heart J 2007;28:1242-9

Download this as a powerpoint slide here

Benefits include (1) Annual Meeting and Educational Workshops at a reduced fees (2) Free authorship in the open access journal Journal of Cardiovascular Magnetic Resonance (3) Scientific forum for: publications, presentations, equipment specifications (4) Exclusive online content ... More

Discrepancies between cardiovascular magnetic resonance and Doppler echocardiography in the measurement of transvalvular gradient in aortic stenosis: the effect of flow vorticity

Garcia J, Capoulade R, Le Ven F, Gaillard E, Kadem L, Pibarot P and Larose ?
Journal of Cardiovascular Magnetic Resonance 2013, 15:84 (20 September 2013)

More: JCMR-online.com; view JCMR archive

SCMR/EuroCMR Joint Scientific Sessions

Save date:

February 5 – 7, 2015

Nice Acropolis Convention Centre Nice, France

More? or

Past Meetings

Platinum Level

Silver Level

New course: HCM: 18 cases, lectures.
Introductory course: 35 cases, lectures
Sample certificate. Guests? Have a go (no certificate)

Users: 1434. Certificates 270. 

NEW moodle site: http://education.scmr.org
count for level 1, 2 or 3 training

More: list courses ...

forum always on

Contrast safey in CMR
2015 Update on Acute Adverse Reactions to Gadolinium based Contrast Agents in Cardiovascular MR. Large Multi-National and Multi-Ethnical Population Experience With 37788 Patients From the EuroCMR RegistryO. Bruder.... On: 10/06/2015 By: jfernandes4125 ... Read more?

Gadobenate Dimeglumine: no NSF risk
Gadobenate Dimeglumine Administration and Nephrogenic Systemic Fibrosis: Is There a Real Risk in Patients with Impaired Renal Function?Sadhna B. Nandwana et al. Radiology 2015;276:epub.. On: 09/26/2015 By: jfernandes4125 ... Read more?

LV structure by MRI and events
Left Ventricular Structure and Risk of Cardiovascular Events: A Framingham Heart Study Cardiac Magnetic Resonance StudyConnie W. Tsao et al. J Am Heart Assoc. 2015; 4: e002188 epub.... On: 09/21/2015 By: jfernandes4125 ... Read more?

Differentiating Athlete's Heart from DCM
T1 and T2 mapping for early diagnosis of dilated non-ischaemic cardiomyopathy in middle-aged patients and differentiation from normal physiological adaptation.Mordi I et al. Eur Heart J Cardiovasc Imaging..... On: 09/12/2015 By: jfernandes4125 ... Read more?

© The Society for Cardiovascular Magnetic Resonance
77.MySQL: 0.0156 s, 13 request(s), PHP: 0.1404 s, total: 0.1560 s  •  By BlueFigment.com