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Figure 2c: Patient with previous myocardial infarction and inducible ischemia. (a, b) Stress first-pass MR images depict hypoperfused area in the anteroseptal wall (black arrow) and in the inferolateral wall (white arrow). (c, d) Delayed-enhancement MR images depict hyperenhancement in the anteroseptal wall in the left anterior descending coronary artery distribution, which represents myocardial infarction (black arrow), but not in the inferolateral wall in the left circumflex artery distribution, which represents inducible ischemia (white arrow). (e) Coronary angiogram depicts occlusion in the left anterior descending artery, which confirms myocardial infarction in the anteroseptal wall (black arrow), and 75% stenosis in the proximal left circumflex artery, which confirms myocardial ischemia in the inferolateral wall (white arrow). (f) Coronary angiogram depicts a right coronary artery without significant stenosis.
