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In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
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Acute myocardial infarction demonstrated by multidetector CT scanning

Dawn Hastreiter1, David Lewis, Theodore J Dubinsky

  • 1Harborview Medical Center, Seattle, Washington, USA.

Emergency Radiology
|July 28, 2004
PubMed

Insights

Multidetector computed tomogram (MDCT) can diagnose myocardial ischemia and infarcts in emergency settings. This cardiac imaging advancement aids in detecting heart conditions when electrocardiograms are inconclusive.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Chest pain is a common emergency room presentation.
  • Electrocardiograms (ECGs) can be indeterminate in diagnosing acute cardiac events.
  • Multidetector computed tomogram (MDCT) is often used to rule out aortic dissection.

Observation:

  • A 55-year-old male presented with left-sided chest pain.
  • The patient's ECG was indeterminate.
  • An MDCT scan was performed to evaluate for aortic dissection.

Findings:

  • The patient's aorta was normal, with no evidence of dissection.
  • MDCT revealed an area of hypoperfusion in the lateral ventricular myocardial wall.
  • This finding suggests myocardial ischemia or infarct.

Implications:

  • Nongated MDCT demonstrates potential for diagnosing myocardial ischemia and infarcts.
  • Advancements in cardiac imaging enhance radiologists' ability to diagnose cardiac disease in emergency departments.
  • This technology can improve the timely diagnosis and management of acute coronary syndromes.

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