• 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

CMR Tissue Tracking: CP vs Restrictive CMP
Diagnostic concordance of echocardiography and cardiac magnetic resonance-based tissue tracking for differentiating constrictive pericarditis from restrictive cardiomyopathy.Circ Cardiovasc Imaging. 2014 Sep;7(5):819-27Amaki M et al. . On: 11/24/2014 By: jfernandes4125 ... Read more?

Multicenter Normal T1 Reference Values
Reference values for healthy human myocardium using a T1 mapping methodology: results from the International T1 Multicenter cardiovascular magnetic resonance study.Dabir D, Child N, Kalra A, Rogers T,.... On: 11/17/2014 By: jfernandes4125 ... Read more?

CMR Perfusion vs FFR
Diagnostic Accuracy of Myocardial Magnetic Resonance Perfusion to Diagnose Ischemic Stenosis With Fractional Flow Reserve as Reference: Systematic Review and Meta-AnalysisLi M et al. J Am Coll Cardiol.... On: 11/11/2014 By: jfernandes4125 ... Read more?

Susceptibility-weighted CMR
Susceptibility-weighted cardiovascular magnetic resonance in comparison to T2 and T2 star imaging for detection of intramyocardial hemorrhage following acute myocardial infarction at 3 TeslaKidambi A, Biglands JD, Higgins.... On: 11/03/2014 By: jfernandes4125 ... Read more?

© The Society for Cardiovascular Magnetic Resonance
77.MySQL: 0.0000 s, 13 request(s), PHP: 0.1404 s, total: 0.1404 s  •  By BlueFigment.com