Contributo da ressonância magnética cardíaca na avaliação da etiologia da dor torácica: A propósito de um caso clínico [The role of cardiovascular magnetic resonance in the evaluation of chest pain etiology: A case report]

• Type: Article in International Scientific Journal
• Date: 2009

Authors

Oliveira SM (Author) FMUP; Pinho T (Author) FMUP; Gavina C (Author) FMUP; Madureira AJ (Author) FMUP; Rodrigues RA (Author) FMUP; Ramos I (Author) FMUP; Maciel MJ (Author) FMUP

Journal

Title: Revista Portuguesa de Cardiologia

Vol. 28 No. 9

Pages: 1005-1014

ISSN: 0870-2551

Publisher: Sociedade Portuguesa De Cardiologia

Indexing

Scopus

Pubmed / Medline

Scientific classification

FOS: Medical and Health sciences > Clinical medicine

Other information

Abstract (EN): In the evaluation of patients with chest pain it is crucial to differentiate between cardiac and non-cardiac etiology. In turn, acute chest pain of cardiac origin includes many clinical entities. The combination of elevated cardiac serum markers, particularly troponin, with typical clinical presentation and electrocardiographic abnormalities most frequently establishes a diagnosis of acute coronary syndrome. However, when coronary angiography reveals only non-significant lesions, this may present a diagnostic dilemma. The authors present the case of a patient admitted with chest pain, initially interpreted as an acute coronary syndrome, based on laboratory parameters and electrocardiographic abnormalities. Coronary angiography showed normal coronary arteries. This result, combined with the findings of subsequent cardiovascular magnetic resonance (myocardial edema and subepicardial delayed enhancement), established a diagnosis of myocarditis. The case illustrates the application of this noninvasive imaging technique in the diagnostic work-up of patients with acute chest pain.

Language: Portuguese

Type (Professor's evaluation): Scientific