Acute XXXX : noninvasive evaluation with cardiac MRI and transthoracic echocardiography.

@entity1 @entity583 @entity296 @entity2401
OBJECTIVE: The diagnosis of @entity2401 is challenging. Nonspecific clinical presentation and an overlap with the diagnosis of @entity583 present a diagnostic dilemma. The purpose of this article is to describe the role of cardiac MRI and transthoracic echocardiography (TTE) in the diagnosis of @entity2401 . MATERIALS AND METHODS: Thirty-two sequential @entity1 (all male; average age, 33 years) with clinically suspected @entity2401 were included. All @entity1 underwent cardiac MRI with sequences dedicated for the evaluation of myocardial delayed enhancement and TTE for the evaluation of wall motion abnormalities (WMAs). Nine @entity1 were excluded because of diagnosis of @entity583 (n=2) or inadequate cardiac MRI technique (n=7). Retrospective analysis of the images of the remaining 23 @entity1 was performed. RESULTS: An epicardial pattern of abnormal patchy myocardial delayed enhancement was seen on cardiac MRI in 21 of 23 (91%) @entity1 . WMAs were seen on TTE in eight of 23 (35%) @entity1 . Regional rather than global involvement was seen mainly in the inferolateral segments, with a predominance in the midventricular portion. CONCLUSION: Cardiac MRI might have a greater impact than TTE in confirming the presence of @entity2401 and evaluating the extent of @entity296 . Cardiac MRI provides noninvasive imaging that may obviate invasive procedures such as coronary catheter angiography or endomyocardial biopsy.
