Cardiac Sarcoidosis Mimicking Anterior Myocardial Infarction

Autor:	Kyoko Oyama-Suzuki, Shintaro Nakano, Kenji Fukushima, Toshihiro Muramatsu, Ryuta Egi
Rok vydání:	2021
Předmět:	Cultural Studies History medicine.medical_specialty Images in Nuclear Cardiology Literature and Literary Theory business.industry Internal medicine Cardiology medicine Anterior myocardial infarction Cardiac sarcoidosis business
Zdroj:	Ann Nucl Cardiol
ISSN:	2424-1741 2189-3926
DOI:	10.17996/anc.21-00136
Popis:	A 58-year-old asymptomatic man with electrocardiogram (ECG) abnormality was referred to our institution for cardiac exams. His ECG showed a bifascicular block, and the echocardiography demonstrated a wall motion abnormality in apex. Stress-rest myocardial perfusion imaging (MPI) showed a significant defect in anterior wall with partial redistribution at rest. He was suspected of having an anterior myocardial infarction (MI) and underwent cardiac catheterization. However, coronary angiography (CAG) revealed no significant coronary atherosclerosis. Cardiovascular magnetic resonance imaging (CMR) was performed to evaluate the extent of myocardial infarction. Late gadolinium enhancement (LGE) demonstrated a significant epicardial and midmyocardial LGE in the multiple site including anterior, anteroseptal, lateral, inferior wall, and basal right ventricle junction, which strongly indicated that the fibrosis was due to cardiac sarcoidosis (CS).A myocardial perfusion defect in anterior wall shown in the MPI revealed the fibrosis as an atypical finding mimicking anterior MI.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e40fc1c1684ab34de463782be796511c https://doi.org/10.17996/anc.21-00136 Zobrazit plný text záznamu