13th March 2024

A 48-year-old male is referred to you with worsening orthopnea over the last fortnight.

A 48-year-old male is referred to you with worsening orthopnea over the last fortnight. He also describes a central chest pain which is dull in character but is not exacerbated by exertion. He is normally fit and well, with no significant past medical history. He does not smoke, and there is no family history of ischaemic heart disease. ECG revealed sinus tachycardia with ST depression in leads aVL, II, III, V2-V6. Initial troponin is raised at 1056 ng/L. Second troponin performed 6 hours later is 1120 ng/L. An echocardiogram has already been performed, and your consultant advises you to arrange a cardiac magnetic resonance (CMR) for the patient. What CMR feature is typically seen in acute myocarditis?

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