机构：[1]Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China医技科室医学影像科首都医科大学附属安贞医院[2]Department of Interventional Therapy, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China医技科室介入诊疗科首都医科大学附属安贞医院
We report serial cardiac magnetic resonance (CMR) imaging finding in a 23-year-old man admitted with wide complex ventricular tachycardia (VT), chest pain and syncope. Serial CMR was performed prior to and following clinical stabilization after treatment for suspected myocarditis. The initial CMR exam showed mildly thickened mid left ventricular septum with mild hyperintensity lesion on T2-weighted image (T2 WI). There was enhancement in subepicardial mid inferoseptal wall and right ventricular insertion on late gadolinium enhancement (LGE) image. A subsequent CMR exam after resolution of symptoms and normalization of cardiac markers demonstrated diffuse mid and subepicardial edema of left ventricle on T2 WI. Diffuse mid and subepicardial enhancement of left ventricle on LGE. The extent of LGE was increased compared to the initial CMR exam. The potential explanation for the discordance between clinical observations and imaging findings is discussed.
基金：
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [NSFC-81671647, NSFC-81771787]
第一作者机构：[1]Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
通讯作者：
通讯机构：[2]Department of Interventional Therapy, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China[*1]Department of Interventional Therapy, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
推荐引用方式(GB/T 7714)：
Lei Zhao,Zheng Wang,Aijia Lu,et al.Discordant clinical presentation and pathophysiology: insights with cardiac magnetic resonance[J].CARDIOVASCULAR DIAGNOSIS AND THERAPY.2019,9(2):189-193.doi:10.21037/cdt.2019.02.04.
APA：
Lei Zhao,Zheng Wang,Aijia Lu&Xiaohai Ma.(2019).Discordant clinical presentation and pathophysiology: insights with cardiac magnetic resonance.CARDIOVASCULAR DIAGNOSIS AND THERAPY,9,(2)
MLA：
Lei Zhao,et al."Discordant clinical presentation and pathophysiology: insights with cardiac magnetic resonance".CARDIOVASCULAR DIAGNOSIS AND THERAPY 9..2(2019):189-193
