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Unexpected Coexisting Myocardial Infarction Detected by Delayed Enhancement MRI
Author(s) -
Édouard Gerbaud,
Henri de ClermontGalleran,
Matthew Erickson,
Pierre Coste,
Michel Montaudon
Publication year - 2009
Publication title -
case reports in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 20
eISSN - 1687-9627
pISSN - 1687-9635
DOI - 10.1155/2009/370542
Subject(s) - medicine , myocardial infarction , cardiology , chest pain , infarction , coronary angiography , artery , radiology , presentation (obstetrics)
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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