JACC: Case Reports (May 2020)

Mismatch Between Cardiac Magnetic Resonance Imaging and Invasive Physiology

  • Henk Everaars, MD,
  • Ramon B. van Loon, MD, PhD,
  • Robin Nijveldt, MD, PhD

Journal volume & issue
Vol. 2, no. 5
pp. 823 – 824

Abstract

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A 74-year-old man returned to the clinic for follow-up of residual nonculprit lesions after reperfused acute inferior ST-segment elevation myocardial infarction. Stress cardiac magnetic resonance perfusion imaging demonstrated a severe perfusion defect in the anterior wall. Surprisingly, subsequent invasive assessment did not reveal hemodynamically significant obstruction in the nonculprit vessels. (Level of Difficulty: Beginners.)

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