PMC6360030_01
EKG showing normal sinus rhythm with ST elevations in leads V2, V3, V4, and V5.
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fig1
ST elevations in leads V2, V3, V4, and V5 (Figure 1). Serial troponins showed an upward trend with a peak of 4.0 (ng/L).
Cardiac MRI showing left ventricular dysfunction with edema and strain abnormalities predominantly in the apical segments suggesting an LAD territory insult. Edema in mid-anterior wall without any late gadolinium enhancement. (a) Increased image intensity of edema-based imaging in the anterior segments. (b) No corresponding late gadolinium enhancement is noted. (c) Movie attached. Still image showing hypokinesis of the anteroapical segments.
CRIM2019-4674875.002.jpg
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fig2
CMR revealed mid-left anterior descending artery territory findings suggestive of edema without evidence of delayed gadolinium enhancement of the myocardium (Figure 2).