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Vol. 68. Issue 4.
Pages 342 (April 2015)
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Vol. 68. Issue 4.
Pages 342 (April 2015)
ECG Contest
DOI: 10.1016/j.rec.2014.06.031
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Response to ECG, March 2015
Respuesta al ECG de marzo de 2015
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Albert Durán Cambra
Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
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Rev Esp Cardiol. 2015;68:25210.1016/j.rec.2014.06.030
Albert Durán Cambra
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Initially, the condition was considered an ST-elevation acute coronary syndrome and the Infarction Code was implemented. Coronary angiography, no lesions; troponin T by ultrasensitive assay, 252-185 ng/L; creatine kinase, 196-287 U/L; echocardiography, left ventricular ejection fraction 55%, with no regional contractility defects. Electrocardiography was performed at 48 h following hospital admittance (Figure 1). Enhanced cardiac magnetic resonance imaging demonstrated heterogeneous gadolinium uptake, with several foci at the midline of the mediobasal portion of the septum and the basal anteroseptal segment of the epicardium (Figure 2), consistent with acute myocarditis.

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Copyright © 2014. Sociedad Española de Cardiología
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Revista Española de Cardiología (English Edition)

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