Examples of cardiac events.
The figure shows examples of in-hospital CVD. Fig. A: patient presented with anterior STEMI (A1), with obstructed LAD (A2-A3), oedema (A4) and LGE (A5) at the mid-apical anterior segments by CMR (A4-A5). Fig. B: patient presented with diffuse ST segment elevation (B1), unobstructed coronary arteries (B2-B4) and mid-apical ballooning at the ventricular angiography (end-diastolic frame, B5, and end-systolic frame, B6). Autopsy revealed presence of contraction band in cardiomyocytes (B7) and marked interstitial oedema and mononucleate cells, in absence of myocyte necrosis (B8). Fig. C1 (magnification in C2): patient with thrombi in the segmental pulmonary arterial branches for the posterior and middle-basal segment of the right lower lobe while in D1 (magnification in D2) a patient with intraluminal thrombus in the arterial branch for the lower right lobe.
Figs. E-G: three cases of CMR findings suggestive of myocarditis: non-ischemic LGE (sub-epicardial at the inferior wall and mid-myocardial at the inferior septum) (E); sub-epicardial LGE areas at the lateral wall (breathing artefact in the image) (F); short axis high native T1 Mapping at the basal lateral wall (G1) and sub-epicardial LGE at the same level (G2) in 3 chamber view. Fig. H: patient presenting with severe biventricular dysfunction, troponin raise, diffuse ECG changes (H1) and unobstructed coronary arteries (H2−H3). Fig. I: patient with myocarditis with high native T1 Mapping (ROI in the anterior wall: 1133 ms, in the inferior wall: 1030 ms). Fig. L: non-ischemic LGE at the inferior RV insertion point. Multiple areas of increased signal in the cine (M1 end-diastolic frame and M2 end-systolic frame) sequences at the subpericardial level in the anterior and inferior wall. Patient with acute pericarditis (N1−N2).