Slides Imaging & Physiology CT & MRI
Disparity between Echocardiogram and Cardiac MRI Findings in a Patient with AMI. Who is Right, Echo Cardiologist or MRI Radiologist?
- Operator : Young-Guk Ko
Disparity between Echocardiogram and Cardiac MRI Findings in a Patient with AMI. Who is Right, Echo Cardiologist or MRI Radiologist? |
- Operator: Young-Guk Ko, MD |
Clinical Information |
- Relevant clinical history and physical
exam: - Relevant test results prior to catheterization: - Relevant catheterization findings: |
Interventional Management |
Procedural step: |
Clinical Course after intervention |
After procedure, immediate echocardiography showed the severely reduced LV function with an estimated ejection fraction of 13% and the LCA territory was akinetic without thinning suggesting mostly stunning feature of anterior LV wall.( Movie 1) Cardiac MR revealed extensive transmural delayed hyperenhancement with massive "no reflow" zone along the LCA territory indicating nonviable myocardium in the entire LCA territory.(Fig 6) However, LV systolic function and the wall motion of LCA territory gradually improved over the period of 4 months in follow-up. LV ejection fraction on his last echocardiogram was 38%.( Movie 2) |
Discussion |
1. Which imaging modality was right? |
Leave a comment