[Skip to Content]
[Skip to Content Landing]

Cardiac Magnetic Resonance Imaging in a Man With Dyspnea and T-Wave Inversions

A previously healthy man in his 40s presented with a 3-month history of progressive dyspnea on exertion. He had inverted T waves in inferior and anterior precordial leads on electrocardiography and marked left ventricular (LV) apex hypertrophy on echocardiography. He was diagnosed as having apical-variant hypertrophic cardiomyopathy and treated with a β-blocker without improvement. Cardiac 4-chamber cine magnetic resonance imaging in steady-state free precession sequence showed obliteration of the LV apex by a large, 5 × 2.5-cm mass consistent with apical LV thrombus and extensive areas of LV endocardial fibrosis. Based on the cardiac magnetic resonance imaging findings, the diagnosis was changed to endomyocardial fibrosis, the patient’s β-blocker was discontinued, and he gradually improved with corticosteroid and anticoagulation treatment. Click the related article link for additional images and full case details.

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 CME Credit™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close