Myocardial infarction

Case contributed by Dr Tim Luijkx

Presentation

Known coronary artery disease of multiple coronaries. Silent ischaemia on ECG. Fractional flow reserve (FFR) non significant. No symptoms.

Patient Data

Age: 55
Gender: Male
MRI

Dimensions:
- LV: 64 mm
- RV: 43 mm
- interventricular septum: 11 mm

Hypokinesia, most notably of the lateral wall of the mid left ventricle towards the apex. Good contraction at the basal level. No valvular insufficiencies. 

At hypokinetic areas there is wall thinning with hypertrabeculation. Late enhancement of the lateral LV wall in keeping with infarction. 

Measurements:
LV EDV: 290 mI (123 ml/m2)
LV ESV: 174 ml  (76 ml/m2)
LV stroke volume: 116 ml (51 ml/m2)
LV EF: 40%
LV CO: 7.5 l/ min

RV EDV: 208 ml
RV ESV: 91 ml
RV stroke volume: 118 ml
RV EF: 56%
RV CO: 7.6 l/min

Conclusion:
Infarction of the lateral LV wall with slight left ventricular hypertrophy with decreased function (ejection fraction 40%). 

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Case information

rID: 39956
Case created: 29th Sep 2015
Last edited: 8th Nov 2015
System: Cardiac
Inclusion in quiz mode: Included

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