Acute decompensated heart failure with dilated cardiomyopathy
Clinically acute decompensation of chronic heart failure secondary to dilative cardio-myopathy with elevated NT-proBNP in acute heart failure. The magnetic resonance imaging (MRI) scan shows dilatation of all cardiac chambers and severely restricted systolic LV function (EF = 24 %). The cTnT-hs kinetic profile shows a non significant fluctuation of less than 50 % increase in the cTnT-hs levels. This variation is < 7 ng/L (2 hours later) and < 9.2ng/L (3 hours later) (< 20 %).
A similar profile for cTnT-hs levels could appear in case of myocarditis.
Conclusion
There is no rise or fall in cTnT-hs values needed for AMI diagnosis.
Prof Alexandre Mebazaa shares the key results and highlights from the STRONG-HF study of implementation of GDMT heart failure therapy that assessed the safety, tolerability of optimization of guideline directed...
