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An unusual cause of myocardial infarction

Bibliographic Details
Main Author: Cunha, N. P. D.
Publication Date: 2019
Other Authors: Rigueira, Joana, Rodrigues, T., Aguiar-Ricardo, Inês, Sousa, I., Campos, P., Pinto, Fausto J., Almeida, Ana G.
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10451/40104
Summary: Copyright © 2019 European Society of Cardiology
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spelling An unusual cause of myocardial infarctionMyocardial infarctionCopyright © 2019 European Society of CardiologyBackground: In order to direct the treatment it, is well established that is fundamental to clarify the aetiology of heart failure and the cause of myocardial infarction (MI) with non obstructive coronary artery disease (MINOCA), with CMR being one of the methods of choice in both clinical situations. Case report: A 70 years-old male patient was admitted in our emergency department with complaints of irregular palpitations, progressive dyspnoea and fatigue on exertion, with two weeks of evolution; these symptoms were associated to retrosternal chest pain in the last twelve hours. He had a previous medical history of dyslipidemia, no other cardiovascular risk factors were known. On admission, his heart rate was 130bpm, with an irregularly irregular pulse and the pulmonary auscultation revealed bibasal crackles. The remaining physical examination was unremarkable. The ECG showed an atrial fibrillation rhythm, with a mild ST elevation and T wave inversion in inferior leads. The echocardiogram revealed a diffuse hypokinesia of left ventricle with an ejection fraction of 35-40%. The lab tests documented an elevation of troponin (hs-TnT 210ng/L) and NTproBNP (1945pg/ml). The coronary angiogram showed no lesions.Oxford University PressRepositório da Universidade de LisboaCunha, N. P. D.Rigueira, JoanaRodrigues, T.Aguiar-Ricardo, InêsSousa, I.Campos, P.Pinto, Fausto J.Almeida, Ana G.2019-11-11T15:20:05Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/40104engEuropean Heart Journal - Cardiovascular Imaging, Volume 20, Issue Supplement_2, June 2019, jez108.0052047-240410.1093/ehjci/jez108.005info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T14:12:41Zoai:repositorio.ulisboa.pt:10451/40104Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T03:05:41.658758Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv An unusual cause of myocardial infarction
title An unusual cause of myocardial infarction
spellingShingle An unusual cause of myocardial infarction
Cunha, N. P. D.
Myocardial infarction
title_short An unusual cause of myocardial infarction
title_full An unusual cause of myocardial infarction
title_fullStr An unusual cause of myocardial infarction
title_full_unstemmed An unusual cause of myocardial infarction
title_sort An unusual cause of myocardial infarction
author Cunha, N. P. D.
author_facet Cunha, N. P. D.
Rigueira, Joana
Rodrigues, T.
Aguiar-Ricardo, Inês
Sousa, I.
Campos, P.
Pinto, Fausto J.
Almeida, Ana G.
author_role author
author2 Rigueira, Joana
Rodrigues, T.
Aguiar-Ricardo, Inês
Sousa, I.
Campos, P.
Pinto, Fausto J.
Almeida, Ana G.
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Cunha, N. P. D.
Rigueira, Joana
Rodrigues, T.
Aguiar-Ricardo, Inês
Sousa, I.
Campos, P.
Pinto, Fausto J.
Almeida, Ana G.
dc.subject.por.fl_str_mv Myocardial infarction
topic Myocardial infarction
description Copyright © 2019 European Society of Cardiology
publishDate 2019
dc.date.none.fl_str_mv 2019-11-11T15:20:05Z
2019
2019-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/40104
url http://hdl.handle.net/10451/40104
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv European Heart Journal - Cardiovascular Imaging, Volume 20, Issue Supplement_2, June 2019, jez108.005
2047-2404
10.1093/ehjci/jez108.005
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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instacron_str RCAAP
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reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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