Presentation
Chest pain with augmented leucocytes, Troponin I ( > 24000 pg/ml) and CK (1000 U/L). Echocardiography findings: normal cardiac function, mild tricuspid insufficiency and minimal pericardial effusion. Normal ECG.
Patient Data
Prevalent linear intramyocardial and partial subepicardial late gadolinium enhancement (10 min) in the basal and medial anterior, anterolateral, inferolateral and inferior wall of the left ventricle with no coronary distribution. Associated transmural oedema in STIR images. Minimal pericardial effusion.
LEFT VENTRICLE: RIGHT VENTRICLE:
EDVi (ml/m²) 70 (V.N. 47 - 92) 81 (V.N. 55 - 105)
ESVi (ml/m²) 20 (V.N. 13 - 30) 27 (V.N. 15 - 43 )
SVi (ml/m²) 50 (V.N. 32 - 62) 53 (V.N. 32 - 64)
EF (%) 70 (V.N. 56 - 78) 67 (V.N. 47 - 74)
Normal ventricular function.
Case Discussion
CMR allows an excelent evaluation of several features of myocarditis, like inflammatory hyperaemia and oedema, necrosis/scar, contractile dysfunction, and accompanying pericardial effusion.
Unable to process the form. Check for errors and try again.