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Fig. 5 | Insights into Imaging

Fig. 5

From: Role of advanced imaging in COVID-19 cardiovascular complications

Fig. 5

STEMI. 45-year-old male patient with no CV history admitted to ER with acute chest pain, elevation of TnT and ST elevation at ECG. Nasopharyngeal swab tested positive for SARS-CoV-2 and chest CT showed a mild pulmonary involvement (a). Occlusion of proximal DA was detected and treated at ICA (b). CMR, performed 7 days after revascularization, showed antero-septal edema of mid and apical planes at STIR images (c, d orange arrows). LGE sequences evidenced necrosis with subendocardial distribution on antero-septal segments and transmural extension on anterior segments on mid planes (e, f blue arrows). Increased values of native T1 (g), T2 mapping (h) and ECV fraction (i) confirmed the presence of edema and necrosis on anterior and antero-septal segments on mid and apical planes. CV cardiovascular; ER emergency room; TnT t-troponin; CT computed tomography; DA descending coronary artery; ICA invasive coronary angiography; CMR cardiac magnetic resonance; STIR short tau inversion recovery; LGE late gadolinium enhancement, ECV extracellular volume

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