Tag Archives: multi-modal imaging

Introduction Systemic inflammatory diseases (SIDs) are syndromes characterised by constitutional symptoms and multi-organ involvement. Cardiac manifestations are rare but often indicate a poor prognosis.1 Behçet’s disease is a relapsing inflammatory condition presenting with recurrent aphthous stomatitis, genital ulcers, and uveitis. Cardiac involvement occurs in 1–5% of cases and includes myocarditis, conduction abnormalities, and intracardiac thrombi.2 Antiphospholipid syndrome (APS) is an autoimmune disorder associated with thrombotic events and recurrent pregnancy loss. Its cardiac manifestations range from accelerated atherosclerosi

A computed tomography (CT) coronary angiogram (CTA) was performed, as the patient was not keen on an invasive angiogram, and demonstrated sub-endocardial hypoattenuation at rest in the anterior wall, apex and apical inferior walls (figure 1B). It was not clear if there was any reversible ischaemia so a myocardial perfusion scintigraphy (SPECT) was performed, and demonstrated a partial thickness infarction involving the anterior wall, apex and apical inferior wall (figure 1A). A research cardiac magnetic resonance (CMR) scan demonstrated late Gadolinium enhancement in the same territories as the other two studies (figure 1C). Figure 1. A. Myoc