Unexpected Coexisting Myocardial Infarction Detected by Delayed Enhancement MRI

We report a case of an unexpected coexisting anterior myocardial infarction detected by delayed enhancement MRI in a 41-year-old man following a presentation with a first episode of chest pain during inferior acute myocardial infarction. This second necrotic area was not initially suspected because...

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Detalles Bibliográficos
Autores principales: Gerbaud, Edouard, De Clermont-Galleran, Henri, Erickson, Matthew, Coste, Pierre, Montaudon, Michel
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2009
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2734919/
https://www.ncbi.nlm.nih.gov/pubmed/19724654
http://dx.doi.org/10.1155/2009/370542
Descripción
Sumario:We report a case of an unexpected coexisting anterior myocardial infarction detected by delayed enhancement MRI in a 41-year-old man following a presentation with a first episode of chest pain during inferior acute myocardial infarction. This second necrotic area was not initially suspected because there were no ECG changes in the anterior leads and the left descending coronary artery did not present any significant stenoses on emergency coronary angiography. Unrecognised myocardial infarction may carry important prognostic implications. CMR is currently the best imaging technique to detect unexpected infarcts.

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