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Updated: Jul 19, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
08:13

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography

Published on: February 16, 2016

Imaging of post-traumatic cardiac rhabdomyolysis with normal coronary arteries

M De Filippo1, M De Blasi, G Paoli

  • 1Department of Clinical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy. massimo.defilippo@unipr.it

Acta Radiologica (Stockholm, Sweden : 1987)
|November 2, 2006
PubMed

Insights

Acute myocardial infarction (AMI) from chest trauma can cause coronary artery issues. Multidetector computed tomography (MDCT) effectively assesses heart wall thickness and coronary arteries in these cases.

Area of Science:

  • Cardiology
  • Radiology
  • Trauma Medicine

Background:

  • Acute myocardial infarction (AMI) can occur after chest trauma due to coronary artery dissection or thrombosis.
  • Assessing heart viability post-AMI is crucial for patient management.
  • Multidetector computed tomography (MDCT) is a key noninvasive tool for evaluating coronary arteries and myocardial thickness.

Observation:

  • This case report details a patient with post-traumatic regional myocardial necrosis.
  • The patient presented with findings suggestive of AMI following a closed chest injury.
  • Coronary angiography revealed normal coronary arteries, ruling out dissection or thrombosis.

Findings:

  • MDCT imaging demonstrated regional myocardial necrosis.
  • MDCT also provided accurate measurements of myocardial wall thickness during diastole and systole.
  • The findings highlight a specific pattern of myocardial injury not directly caused by coronary artery pathology.

Implications:

  • MDCT is valuable for diagnosing and managing myocardial injury after chest trauma, even with normal coronary arteries.
  • This case expands understanding of non-atherosclerotic causes of myocardial infarction.
  • MDCT's ability to assess myocardial viability is critical in differentiating causes of heart damage post-trauma.

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