Chicken Or The Egg?

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Chicken Or The Egg? - Page #3

Lab Studies: High-sensitivity Troponin T (hsTropT): 22.3 ng/L (normal < 19.0 ng/L) <br>Since he exercised the day of initial troponin: Repeated three days later: 9.1 ng/L Other Studies: Electrocardiogram: No significant changes from baseline done August 2019 and sit showed: Sinus Bradycardia, Early Repolarization <br> <br>Transthoracic Echocardiogram: was normal with no significant changes from baseline of August 2019. The report showed Normal Ventricular Function and No Regional Wall Motion Abnormalities <br> <br>However, due to the Big XII Conference Management Algorithm on Post-COVID RTP, cardiac MRI was indicated <a href="CaseStudyImages/CS1Chickenortheegg-878.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> . The cardiac MRI showed: Left Ventricle Ejection Fraction 52% (Normal: 48-68%), Right Ventricle Ejection Fraction 38% (Normal: 42-62%), Right Ventricular Dilation, Regional Wall Dyskinesia Involving the Left Ventricle Apex <br> <br>Repeat Cardiac MRI, 3 Months Later <a href="CaseStudyImages/CS2Chickenortheegg-878.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> showed the following: Left Ventricle Ejection Fraction 52% (Normal: 48-68%), Right Ventricle Ejection Fraction 28% (Normal: 42-62%), Right Ventricular Dilation, Global Hypokinesia <br> <br>At this point, the diagnosis was felt to be a post-COVID cardiomyopathy and the patient referred to the Mayo Clinic in Rochester, MN for further evaluation <br> <br>Final Cardiac MRI, 5 Months from Original showed the following: Left Ventricle Ejection Fraction 50% (Normal: 48-68%), Right Ventricle Ejection Fraction 47% (Normal: 42-62%), No Regional Wall Motion Abnormalities, No Delayed Myocardial Hyperenhancement Consultations: Cardiology <br>Mayo Clinic Cardiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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