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) 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 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 However, due to the Big XII Conference Management Algorithm on Post-COVID RTP, cardiac MRI was indicated Case Photo #1 . 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 Repeat Cardiac MRI, 3 Months Later Case Photo #2 showed the following: Left Ventricle Ejection Fraction 52% (Normal: 48-68%), Right Ventricle Ejection Fraction 28% (Normal: 42-62%), Right Ventricular Dilation, Global Hypokinesia 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 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 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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