Key result
Cardiac magnetic resonance imaging revealed a myocardial crypt in an asymptomatic young athlete with an altered ECG, highlighting the diagnostic uncertainty of such findings.
Why the study?
How should a myocardial crypt found on CMR in an asymptomatic young athlete with an altered ECG be interpreted?
Case Report (n=1)
How should a myocardial crypt found on CMR in an asymptomatic young athlete with an altered ECG be interpreted?
Incidental findings such as myocardial crypts on CMR in athletes pose diagnostic challenges and may lead to unnecessary and potentially harmful further interventions.
Answers are grounded in this paper and cite their sources.
Myocardial crypts on CMR in asymptomatic athletes with ECG changes warrant cautious interpretation to avoid unnecessary interventions; case reports leave open their clinical significance.
Myocardial crypts are extensions of blood signal penetrating the compact myocardium and are considered in literature as either a distinctive cardiac magnetic resonance (CMR) imaging marker for hypertrophic cardiomyopathy or as benign congenital malformations. What if CMR reveals a myocardial crypt in the presence of an altered ECG in an asymptomatic, enlarged young athlete's heart? The illustrated case demonstrates that new insights in CMR can also require further diagnostic interventions, which might have deleterious consequences for the individual athlete because of the uncertain interpretation of some findings in the demanding new world of a rapidly developing diagnostic imaging technique.
No takes yet. Share an insight, caveat, or question.
Neunhäuserer et al. (2014) conducted a case report in Myocardial crypt (n=1). Cardiac magnetic resonance (CMR) imaging was evaluated. Cardiac magnetic resonance imaging revealed a myocardial crypt in an asymptomatic young athlete with an altered ECG, highlighting the diagnostic uncertainty of such findings.
Synapse has enriched 10 related papers. Consider them for comparative context: