Early detection of fibrotic areas in anterior STEMI by echocardiography. A case report

Early detection of fibrotic areas in anterior STEMI by echocardiography. A case report

Authors

  • Carmine Siniscalchi Parma University Hospital
  • Nicola Gaibazzi Parma University Hospital

Keywords:

eScar; Myocardial Infarction; Angioplasty, Myocardial Fibrosis

Abstract

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.

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Published

07-09-2020

Issue

Section

CASE REPORTS

How to Cite

1.
Siniscalchi C, Gaibazzi N. Early detection of fibrotic areas in anterior STEMI by echocardiography. A case report. Acta Biomed [Internet]. 2020 Sep. 7 [cited 2024 Jul. 20];91(3):e2020077. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/8197