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A Young Patient with Chest Pain: Going Beyond the Obvious

Arq Bras Cardiol: Imagem cardiovasc. 2020;33(4):abc113


Video 1 - Transthoracic echocardiogram (TTE): apical four-chamber view. TTE showing mildly reduced systolic function (left ventricular ejection fraction of 45%), with anterolateral wall hypokinesia and mild pericardial effusion. The right ventricle had normal morphology and function, with a preserved ejection fraction.


Video 2 - Cardiac magnetic resonance: cine sequences. Short-axis (A) and horizontal long axis view (B) showing hypokinesia of the anterolateral mid-segment.


Video 3 - Cardiac magnetic resonance imaging: perfusion sequence. Perfusion defect of the anterolateral and posteromedial papillary muscles, as well as in the midsegment of the anterolateral wall.




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