Click on image to view larger version.

Figure 2 Selected cardiac magnetic resonance (CMR) images from one study patient. Cardiac magnetic resonance findings in a 49-year-old male patient (presented with anterolateral ST-segment depression, troponin 0.2 mg/l). Only one short-axis image of selected CMR acquisitions is shown. Cine images demonstrate anteroseptal hypokinesia, diastolic frame at midventricular level in (a), systolic frame in (b), white arrows. Stress perfusion imaging (c) shows an anteroseptal perfusion defect. Late contrast-enhanced images (d) show no hyperenhancement, indicating that the entire myocardium is viable. Coronary CMR shows a lesion in the mid-left anterior descending coronary artery (LAD) (e, dotted arrow), with normal left circumflex coronary artery (LCX) and right coronary artery (RCA) (f). The combined CMR analysis thus suggested significant coronary artery disease with a stenosis of the LAD and a large area of viable myocardium at ischemic risk. X-ray angiography, (g and h), confirmed a proximal high-grade lesion in the LAD (dotted arrow), with a normal LCX and RCA. LV = left ventricle; RV = right ventricle.