Lab Studies:
High-sensitivity Troponin T (hsTropT): 22.3 ng/L (normal < 19.0 ng/L)
Since he exercised the day of initial troponin: Repeated three days later: 9.1 ng/L
Other Studies:
Electrocardiogram: No significant changes from baseline done August 2019 and sit showed: Sinus Bradycardia, Early Repolarization
Transthoracic Echocardiogram: was normal with no significant changes from baseline of August 2019. The report showed Normal Ventricular Function and No Regional Wall Motion Abnormalities
However, due to the Big XII Conference Management Algorithm on Post-COVID RTP, cardiac MRI was indicated Case Photo #1 . The cardiac MRI showed: Left Ventricle Ejection Fraction 52% (Normal: 48-68%), Right Ventricle Ejection Fraction 38% (Normal: 42-62%), Right Ventricular Dilation, Regional Wall Dyskinesia Involving the Left Ventricle Apex
Repeat Cardiac MRI, 3 Months Later Case Photo #2 showed the following: Left Ventricle Ejection Fraction 52% (Normal: 48-68%), Right Ventricle Ejection Fraction 28% (Normal: 42-62%), Right Ventricular Dilation, Global Hypokinesia
At this point, the diagnosis was felt to be a post-COVID cardiomyopathy and the patient referred to the Mayo Clinic in Rochester, MN for further evaluation
Final Cardiac MRI, 5 Months from Original showed the following: Left Ventricle Ejection Fraction 50% (Normal: 48-68%), Right Ventricle Ejection Fraction 47% (Normal: 42-62%), No Regional Wall Motion Abnormalities, No Delayed Myocardial Hyperenhancement
Consultations:
Cardiology
Mayo Clinic Cardiology
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