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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Myocardial calcification as a rare cause of congestive heart failure: a case report
Adel El-Bialy1, Michael Shenoda, Jahandar Saleh
1Olive View-UCLA Medical Center, Division of Cardiology, Sylmar, CA 91342-1495, USA. elbialy@ucla.edu
Insights
This study details a rare case of myocardial calcification in an 80-year-old woman with normal coronary arteries. Extensive left ventricular calcifications developed over 4 years without identifiable causes.
Area of Science:
- Cardiology
- Radiology
Background:
- Myocardial calcification involves calcium deposition in heart muscle, often linked to prior heart attacks.
- Cases with normal coronary arteries are exceptionally rare in medical literature.
Observation:
- An 80-year-old woman presented with recurrent heart failure despite normal heart function and clear coronary arteries.
- High-resolution CT scans showed new, extensive left ventricular myocardial calcifications over a 4-year period.
Findings:
- The patient developed significant myocardial calcification without a history of heart attack or other known causes.
- This progression occurred despite preserved left ventricular ejection fraction and normal coronary arteries.
Implications:
- This case highlights the possibility of idiopathic myocardial calcification, challenging current understanding.
- Further research is needed to explore the mechanisms and clinical significance of such findings.
Abstract:
Myocardial calcification is a manifestation of either metastatic or dystrophic calcium deposition in the myocardium. Dystrophic calcification of the myocardium is most commonly seen in long-term survivors of substantial myocardial infarctions. Current literature has reported only 3 cases of myocardial calcification with normal coronary arteries. We present a case of an 80-year-old woman with multiple admissions over a 5-year period for congestive heart failure. She was found to have a normal left ventricular ejection fraction and normal coronary arteries on left heart catheterization. A high resolution computed tomography (CT) study of the chest revealed extensive left ventricular myocardial calcifications, which were not present 4 years earlier on CT. The patient's history and clinical presentation revealed no etiologic factors for her calcified myocardium.
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