Parma University Hospital.
Acta Biomed. 2020 Sep 7;91(3):e2020077. doi: 10.23750/abm.v91i3.8197.
We describe the case of a patient admitted to our ward for dyspnea and chest pain. Acutely performed electrocardiogram confirms the clinical suspect of myocardial infarction by showing ST-elevation in the anterior leads (STEMI). Primary percutaneous coronary intervention (PCI) was performed, with normal final coronary artery flow. At 6-month cardiac magnetic resonance (CMR) late Gadolinium enhancement (CMR-LGE) was present in the entire left anterior descending coronary artery territory. We also performed a standard echocardiogram on day 1 after primary angioplasty, as expected showing akinesia in the STEMI territory. Interesting, using a new echocardiographic setting, we have been able to very early detect fibrotic tissue in an easy and cost-effective way.
我们描述了一位因呼吸困难和胸痛而住院的患者。急性心电图检查通过在前导导联显示 ST 段抬高（STEMI）证实了心肌梗死的临床怀疑。进行了经皮冠状动脉介入治疗（PCI），最终冠状动脉血流正常。在 6 个月的心脏磁共振（CMR）晚期钆增强（CMR-LGE）时，整个左前降支冠状动脉区域均有增强。在初次血管成形术后的第一天，我们还进行了标准超声心动图检查，如预期的那样，STEMI 区域显示无运动。有趣的是，使用新的超声心动图设置，我们能够以简单且具有成本效益的方式非常早期地检测到纤维化组织。
