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Ellen Ostenfeld and Frank A Flachskampf

magnetic resonance imaging (MRI) or radionuclide angiography, contains substantial functional and prognostic information from LV parameters as well as from conventional functional RV parameters independently. RV ejection fraction is excellent for the

Open access

Nam Tran, Chun Shing Kwok, Sadie Bennett, Karim Ratib, Grant Heatlie, and Thanh Phan

). Figure 3 (A) Cardiac magnetic resonance imaging. Apical four chamber showing pericardial effusion (starred) and LV apical trabeculation (arrowed). (B) Cardiac magnetic resonance imaging. Apical four chamber showing LV apical thrombus (arrowed

Open access

Shreya Ohri, Ankush Sachdeva, Mona Bhatia, and Sameer Shrivastava

echocardiography no color flow was observed within the cystic cavity. Cardiac magnetic resonance imaging (MRI) was performed to further evaluate the single cyst and rule out other possible differential diagnosis, such as a simple post-infarction blood-filled cyst

Open access

Real Lebeau, Karim Serri, Maria Di Lorenzo, Claude Sauvé, Van Hoai Viet Le, Vicky Soulières, Malak El-Rayes, Maude Pagé, Chimène Zaïani, Jérôme Garot, and Frédéric Poulin

involves exposure to ionizing radiation ( 2 ). Cardiac magnetic resonance imaging (CMR) is the gold standard for the precise estimation of LV volumes and LVEF requiring meticulous tracings of endocardial borders in short-axis planes ( 3 ). Using TTE, wall

Open access

Ingeborg H F Herold, Salvatore Saporito, Massimo Mischi, Hans C van Assen, R Arthur Bouwman, Anouk G W de Lepper, Harrie C M van den Bosch, Hendrikus H M Korsten, and Patrick Houthuizen

was related to the severity of heart failure as expressed by the New York Heart Association (NYHA) classification ( 2 ). Also, the relationship between the intrathoracic circulation time derived from dynamic contrast-enhanced magnetic resonance imaging

Open access

Sothinathan Gurunathan and Roxy Senior

Summary

We present the case of a 32-year-old man who presented with a remote history of chest pain and was diagnosed with non-compaction cardiomyopathy on echocardiography. On presentation, he was relatively asymptomatic with normal cardiac function. Unfortunately, he presented 1 year later with a catastrophic embolic stroke.

Learning points:

  • Left ventricular non-compaction (LVNC) is a myocardial disorder characterised by prominent left ventricular (LV) trabeculae, a thin compacted layer and deep intertrabecular recesses.

  • Two-dimensional echocardiography with colour Doppler is the study of choice for diagnosis and follow-up of LVNC. CMR serves an important role where adequate echocardiographic imaging cannot be obtained.

  • LVNC is associated with high rates of mortality and morbidity in adults, including heart failure, thromboembolic events and tachyarrhythmias.

Open access

Jalal Asadi, Sanjay S Bhandari, and Nauman Ahmed

A 25-year-old male with a background of ulcerative colitis presented with a two-week history of central chest pain. His ECG on presentation showed global T wave inversion with a peak troponin I of 165 ng/mL. Clinical diagnosis of myopericarditis/myocarditis was made. Echocardiography and cardiac magnetic resonance (MR) confirmed the diagnosis. On detailed assessment of his medication history, mesalazine was suspected as an etiological factor, with discontinuation resulting in an improvement in symptoms, inflammatory markers and cardiac enzymes. This is a unique case of mesalazine-induced myopericarditis on a background of inflammatory bowel disease.

Learning points:

  • Myopericarditis can be due to infectious and non-infectious causes.

  • Myopericarditis may be related to systemic diseases such as inflammatory bowel disease (IBD) or as a consequence of its treatment.

  • Cardiac magnetic resonance has proven to be a valuable technique for assessing myocardial injury and inflammation in myocarditis.

  • Importance of taking a thorough medical history to distinguish the type of chest pain in order to make a correct diagnosis.

Open access

Rienzi Díaz-Navarro and Petros Nihoyannopoulos

lateral wall of the left ventricle (LV). Panel B: Doppler CFI showing blood flow from the LV into the aneurysmal cavity (green arrow). Panel C: four-chamber view cardiac magnetic resonance imaging confirmed a Ps measuring 93 × 62 mm adjacent to the lateral

Open access

Mehrnoush Toufan, Leili Pourafkari, Fariborz Akbarzadeh, and Nader D Nader

the aneurysm ( Fig. 6 ). TEE with contrast injection has been proposed as an accurate non-invasive tool in diagnosis of atrial appendage aneurysms (3) , while CT angiography and magnetic resonance imaging remain as excellent adjunct imaging techniques

Open access

Umut Kocabas, Esra Kaya, and Cahide Soydas Cinar

cardiomyopathy (HCM) ( Fig. 1A ). The diagnosis of HCM was confirmed by contrast-enhanced magnetic resonance imaging, and late gadolinium enhancement was observed in the anterior wall ( Fig. 1B and C ). The patient’s coronary sinus (CS) was dilated and, therefore