A valuable cardiac magnetic resonance investigation after MINOCA/takotsubo Syndrome: a case report
Abstract Myocardial infarction with non‐obstructive coronary arteries is a working diagnosis that includes takotsubo cardiomyopathy/syndrome (TTS). Cardiac magnetic resonance (CMR) is useful for establishing the underlying aetiology of myocardial infarction with non‐obstructive coronary arteries dur...
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doaj-0c8011826a1f4f1c8e2cccbba29f007f2021-02-24T06:51:30ZengWileyESC Heart Failure2055-58222020-12-01764336434210.1002/ehf2.12998A valuable cardiac magnetic resonance investigation after MINOCA/takotsubo Syndrome: a case reportSnehasis Pradhan0Nedall Zalloum1Gresa Kciku2Hans‐Joachim Trappe3Department of Cardiology and Angiology Marien Hospital Herne, Ruhr‐University of Bochum Herne GermanyDepartment of Cardiology and Angiology Marien Hospital Herne, Ruhr‐University of Bochum Herne GermanyDepartment of Cardiology and Angiology Marien Hospital Herne, Ruhr‐University of Bochum Herne GermanyDepartment of Cardiology and Angiology Marien Hospital Herne, Ruhr‐University of Bochum Herne GermanyAbstract Myocardial infarction with non‐obstructive coronary arteries is a working diagnosis that includes takotsubo cardiomyopathy/syndrome (TTS). Cardiac magnetic resonance (CMR) is useful for establishing the underlying aetiology of myocardial infarction with non‐obstructive coronary arteries during the acute phase, but its role in follow‐up is less well established. A 35‐year‐old man with several cardiac risk factors presented 3 days after his sister's death with biochemical and clinical features of acute myocardial infarction without coronary artery obstruction on angiography but with diagnostic features of TTS on CMR, including oedema but no late gadolinium enhancement. Subsequent CMR 3 months later revealed left ventricular late gadolinium enhancement suggesting previous acute myocardial infarction. Although the initial diagnosis of TTS was robust according to established criteria, it remained uncertain whether the later ischaemic injury was related to an ischaemic event at presentation or occurred in the intervening period. Nevertheless, CMR may have an extended role in the follow‐up of these patients and may reveal additional, actionable pathology.https://doi.org/10.1002/ehf2.12998MINOCATakotsuboCardiac magnetic resonanceLate gadolinium enhancement |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Snehasis Pradhan Nedall Zalloum Gresa Kciku Hans‐Joachim Trappe |
spellingShingle |
Snehasis Pradhan Nedall Zalloum Gresa Kciku Hans‐Joachim Trappe A valuable cardiac magnetic resonance investigation after MINOCA/takotsubo Syndrome: a case report ESC Heart Failure MINOCA Takotsubo Cardiac magnetic resonance Late gadolinium enhancement |
author_facet |
Snehasis Pradhan Nedall Zalloum Gresa Kciku Hans‐Joachim Trappe |
author_sort |
Snehasis Pradhan |
title |
A valuable cardiac magnetic resonance investigation after MINOCA/takotsubo Syndrome: a case report |
title_short |
A valuable cardiac magnetic resonance investigation after MINOCA/takotsubo Syndrome: a case report |
title_full |
A valuable cardiac magnetic resonance investigation after MINOCA/takotsubo Syndrome: a case report |
title_fullStr |
A valuable cardiac magnetic resonance investigation after MINOCA/takotsubo Syndrome: a case report |
title_full_unstemmed |
A valuable cardiac magnetic resonance investigation after MINOCA/takotsubo Syndrome: a case report |
title_sort |
valuable cardiac magnetic resonance investigation after minoca/takotsubo syndrome: a case report |
publisher |
Wiley |
series |
ESC Heart Failure |
issn |
2055-5822 |
publishDate |
2020-12-01 |
description |
Abstract Myocardial infarction with non‐obstructive coronary arteries is a working diagnosis that includes takotsubo cardiomyopathy/syndrome (TTS). Cardiac magnetic resonance (CMR) is useful for establishing the underlying aetiology of myocardial infarction with non‐obstructive coronary arteries during the acute phase, but its role in follow‐up is less well established. A 35‐year‐old man with several cardiac risk factors presented 3 days after his sister's death with biochemical and clinical features of acute myocardial infarction without coronary artery obstruction on angiography but with diagnostic features of TTS on CMR, including oedema but no late gadolinium enhancement. Subsequent CMR 3 months later revealed left ventricular late gadolinium enhancement suggesting previous acute myocardial infarction. Although the initial diagnosis of TTS was robust according to established criteria, it remained uncertain whether the later ischaemic injury was related to an ischaemic event at presentation or occurred in the intervening period. Nevertheless, CMR may have an extended role in the follow‐up of these patients and may reveal additional, actionable pathology. |
topic |
MINOCA Takotsubo Cardiac magnetic resonance Late gadolinium enhancement |
url |
https://doi.org/10.1002/ehf2.12998 |
work_keys_str_mv |
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