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Connection between the heart and the gut.

Bostjan BerlotIwan HarriesChiara Bucciarelli-Ducci
Published in: Heart (British Cardiac Society) (2019)
What is the most likely diagnosis based on the MRI findings? Multiple embolic myocardial infarctions in the right coronary artery territory.Acute autoimmune myocarditis.Cardiac sarcoidosis.Stress (Takotsubo) cardiomyopathy.Multiple embolic myocardial infarctions in the left circumflex coronary artery territory. heartjnl;105/15/1148/F1F1F1Figure 1(A) Balanced steady-state free precession (bSSFP) left ventricular long-axis, three-chamber view. (B) T2 short-tau inversion recovery. (C) Early gadolinium enhancement demonstrating high signal intensity indicative of hyperaemia with capillary leakage (arrowed). (D) Late gadolinium enhancement with high signal intensity indicative of increased extracellular space (arrowed). (E) bSSFP left ventricular short-axis view. (F) Native myocardial T1 mapping with elevated native T1 mapping values in the inferior wall (arrowed). (G) Native myocardial T2 mapping with elevated native T2 values in the inferior wall, indicative of oedema (arrowed). (H) Late gadolinium enhancement with high signal intensity indicative of increased extracellular space (arrowed).
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