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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
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Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Updated: Sep 28, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Transmural ischemia visualized using routine Chest CTA.

F Y van Driest1, O Hertgers2, A J H A Scholte1

  • 1Department of Cardiology, Leiden Heart-Lung Center, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands.

Radiology Case Reports
|April 1, 2022
PubMed
Summary
This summary is machine-generated.

Routine chest CT angiography can reveal myocardial infarction (MI) by showing hypoperfusion areas. This case highlights its potential for diagnosing acute MI during evaluations for other conditions.

Keywords:
CT perfusionCardiologyChest computed tomographyComputed tomography angiographyMyocardial infarction

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Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Chest computed tomography (CT) is not standard for diagnosing myocardial infarction (MI).
  • Previous reports suggest MI diagnosis during chest CT for other reasons, identified via myocardial hypoperfusion.
  • Acute chest pain is a common symptom requiring urgent diagnostic evaluation.

Observation:

  • A 60-year-old male presented with acute chest pain radiating between the scapulae.
  • Thoracic computed tomography angiography was performed to exclude aortic dissection.
  • The CT angiography incidentally revealed left anterior descending coronary artery occlusion with relative myocardial hypoperfusion.

Findings:

  • The case demonstrates the visualization of transmural ischemia in acute myocardial infarction using routine thoracic CT angiography.
  • Myocardial hypoperfusion was evident on CT angiography in the affected region.
  • Coronary artery occlusion was identified as the cause of ischemia.

Implications:

  • Clinicians should consider evaluating for myocardial perfusion abnormalities during chest CT assessments.
  • Thoracic CT angiography may serve as a valuable tool for diagnosing acute myocardial infarction in specific clinical scenarios.
  • Increased awareness can lead to earlier MI detection and intervention.