INFLAMMATION OR ISCHEMIA? THE ROLE OF MULTIMODAL DIAGNOSTICS

Abstract

The diagnosis of acute myocardial infarction type 1 depends on the result of coronary angiography (CAG). However, an uncertain diagnosis of CAG, in combination with atypical symptoms, poses a challenge that requires multimodal diagnostics. In this report, we present a clinical case of a 43-year-old man with chest pain and diffuse ST-elevations, initially suggesting pericarditis. The patient had no convincing evidence of coronary pathology leading to ischemia, except for segmental disturbances in the kinetics of an area supplied by one coronary artery. To confirm the diagnosis of myocardial infarction and subsequently treat the occluded artery, a magnetic resonance imaging (MRI) of the heart was performed.