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Comprehensive assessment of takotsubo cardiomyopathy by cardiac computed tomography

Daisuke Sueta1, Seitaro Oda2, Yasuhiro Izumiya1

  • 1Department of Cardiovascular Medicine, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.

Emergency Radiology
|May 8, 2018
PubMed

Insights

Cardiac computed tomography (CT) offers a practical, rapid alternative to cardiac magnetic resonance imaging (CMR) in emergencies. This study highlights CT

Area of Science:

  • Cardiovascular Imaging
  • Radiology

Background:

  • Cardiac computed tomography (CT) is increasingly vital in emergency settings due to its speed and accessibility, surpassing cardiac magnetic resonance imaging (CMR).
  • While initially for coronary artery assessment, cardiac CT now extends to non-coronary applications, including myocardial characterization.

Observation:

  • A case study details a patient with takotsubo cardiomyopathy comprehensively assessed using cardiac CT.
  • Cardiac CT identified coronary artery status and evaluated four-dimensional left ventricular function and myocardial late iodine enhancement.

Findings:

  • Cardiac CT provided information comparable to CMR, demonstrating its utility in myocardial assessment.
  • The technique proved more practical than CMR in an emergency context.

Implications:

  • Comprehensive cardiac CT assessment offers a beneficial, noninvasive evaluation for suspected takotsubo cardiomyopathy in emergency situations.
  • This underscores the expanding role of cardiac CT beyond coronary imaging.

Keywords:
Cardiac computed tomographyLate gadolinium enhancementLate iodine enhancementTakotsubo cardiomyopathy

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