Presentation
Admitted to the hospital with chest pain and syncope.
Patient Data
On cine, there is no significant reduction in contractility; the LV free wall is somewhat thickened.
High STIR signal indicates myocardial edema.
On late gadolinium enhancement (LGE), areas of high signal indicate edema / myocardial fibrosis.
Case Discussion
The patient had an increase in troponins in the blood. Coronary angiography did not reveal pathology of the coronary arteries. After 5 days, an MRI scan was performed.
In this clinical picture, an increase in the level of troponins and the absence of coronary pathology, one can suspect myocarditis.
MRI confirms the diagnosis: myocardial edema on STIR and hyperintense areas on LGE (edema / fibrosis). The patient has two Lake Louise criteria of myocarditis (T2 edema and LGE hyperenchancemet).
The case is presented together with: Anikin A., Yarmola I. and Basargina E.
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