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

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

Interpretation:
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

References:
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
Both
count for level 1, 2 or 3 training

More: list courses ...

forum always on

Uremic cardiomyopathy and CMR
Defining the Natural History of Uremic Cardiomyopathy in Chronic Kidney Disease: The Role of Cardiovascular Magnetic Resonance.JACC Cardiovasc Imaging. 2014 Jul;7(7):703-714. doi: 10.1016/j.jcmg.2013.09.025.Edwards NC et al. On: 07/21/2014 By: jfernandes4125 ... Read more?

LGE in Aortic Stenosis
Prognostic Significance of LGE by CMR in Aortic Stenosis Patients Undergoing Valve ReplacementGilles Barone-Rochette et alJ Am Coll Cardiol. 2014;64(2):144-154. doi:10.1016/j.jacc.2014.02.612. On: 07/12/2014 By: jfernandes4125 ... Read more?

ARVD new criteria and CMR
Effect of the 2010 task force criteria on reclassification of cardiovascular magnetic resonance criteria for arrhythmogenic right ventricular cardiomyopathyTing Liu, Amit Pursnani, Umesh C Sharma, Yongkasem Vorasettakarnkij, Daniel.... On: 07/07/2014 By: jfernandes4125 ... Read more?

Atrial T1 Maps
Magnetic Resonance Post-Contrast T1 Mapping in the Human Atrium: Validation and Impact on Clinical Outcome Following Catheter Ablation for Atrial FibrillationlinkLiang-han Ling.... On: 06/23/2014 By: jfernandes4125 ... Read more?

© The Society for Cardiovascular Magnetic Resonance
77.MySQL: 0.0156 s, 13 request(s), PHP: 0.1248 s, total: 0.1404 s  •  By BlueFigment.com