TEC Cardiologia Practice Questions - TEC - Título De Especialista Em Cardiologia (Sociedade Brasileira De Cardiologia AMB) Exam

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A 45-year-old woman presents with typical acute ischemic chest pain, dynamic T-wave inversions in V2–V6, and a significant rise and fall of high-sensitivity cardiac troponin I (hs-cTnI: 2,450 ng/L; 99th percentile URL: 16 ng/L). Urgent coronary angiography demonstrates completely normal epicardial coronary arteries without angiographic evidence of stenosis, dissection, or thrombus (

Coronary computed tomography angiography (CCTA) with plaque subtraction. Cardiac Magnetic Resonance (CMR) imaging with late gadolinium enhancement and T1/T2 parametric mapping. Radionuclide myocardial perfusion scintigraphy (SPECT) with 99mTc-sestamibi. Transesophageal echocardiography (TEE) with agitated saline bubble study.

Correct Answer:

Cardiac Magnetic Resonance (CMR) imaging with late gadolinium enhancement and T1/T2 parametric mapping.

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