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Image challenge
A young heart with an old disease
  1. Cátia C Oliveira1,2,
  2. Nuno Salomé1,
  3. Vitor Hugo Pereira1,2
  1. 1 Cardiology, Hospital de Braga, Braga, Portugal
  2. 2 Life and Health Sciences Research Institute, Braga, Portugal
  1. Correspondence to Dr Cátia C Oliveira, Cardiology, Hospital de Braga, Braga, Portugal; catiaandreiaoliveira{at}gmail.com

http://dx.doi.org/10.1136/heartjnl-2019-316172

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    Clinical introduction­

    A 30-year-old man was admitted to the cardiology department with complaints of recurrent episodes of atypical chest pain for the last 6 months. He had a history of chest trauma from a car accident during his childhood. The ECG showed sinus rhythm and ‘q’ waves in the inferior wall. Blood analyses were unremarkable, with negative myocardial necrosis markers. Transthoracic echocardiography (TTE) and cardiac magnetic resonance (CMR) were performed (figure 1).

    Figure 1

    (A) Transthoracic echocardiogram with ultrasonic contrast (two-chamber view). (B) Late gadolinium enhancement, cardiac magnetic resonance (two-chamber view).

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    Footnotes

    • Twitter @Cátia Oliveira

    • Contributors CCO and VHP were responsible for planning, conduct and reporting of the work described in the article. VHP was responsible for the CMR images. CCO was the physician during the patient's hospital stay. NS is the patient's current physician and was responsible for the echocardiographic images.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.