PMC10424257_01
The top panel displays the initial MRI images, while the bottom panel shows the MRI scans taken 8 months later. (A)short-axis view, T2 Weighted Image, showed myocardial edema present in the basal inferior septal LV segment, (B, C) in the short-axis and 4ch view, there was no evidence of late gadolinium enhancement, (D)another short-axis view with a T2 Weighted Image, showed improvement in myocardial inflammation, (E, F), late enhancement images revealed evidence of sub-epicardial fibrosis in the basal to mid inferior, inferior lateral and anterior lateral LV segments, which suggest the presence of post myocarditis scar.
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However, minimal pericardial effusion is still visible (Fig. 1D, E, F).
Three channel ECG Holter monitoring of the patient showed bigemenic PVC and normal sinus beats (indicated as V and N respectively).
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Twelve-lead ECGs were unremarkable, so a 48-hour ambulatory ECG holter monitoring was performed (Fig. 2), which showed periods of bigeminal premature ventricular contraction (PVC), correlating with the time of palpitation feeling of the patient, otherwise unremarkable.