Potential Utility of Non-gated Enhanced Computed Tomography for an Early Diagnosis of Myocardial Infarctions

The diagnosis of acute myocardial infarctions (MIs) is challenging when no significant ischemic ST-segment changes are noted on a 12-lead electrocardiogram (ECG). We herein report two patients suffering from chest pain in whom non-gated enhanced computed tomography (CT) images were used to rule out...

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Autores principales: Arai, Riku, Fukamachi, Daisuke, Ebuchi, Yasunari, Akutsu, Naotaka, Okumura, Yasuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008058/
https://www.ncbi.nlm.nih.gov/pubmed/31511486
http://dx.doi.org/10.2169/internalmedicine.3496-19
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author Arai, Riku
Fukamachi, Daisuke
Ebuchi, Yasunari
Akutsu, Naotaka
Okumura, Yasuo
author_facet Arai, Riku
Fukamachi, Daisuke
Ebuchi, Yasunari
Akutsu, Naotaka
Okumura, Yasuo
author_sort Arai, Riku
collection PubMed
description The diagnosis of acute myocardial infarctions (MIs) is challenging when no significant ischemic ST-segment changes are noted on a 12-lead electrocardiogram (ECG). We herein report two patients suffering from chest pain in whom non-gated enhanced computed tomography (CT) images were used to rule out aortic dissection and pulmonary embolism, aiding in the early diagnosis of an acute MI. Subsequently, urgent revascularization was successfully performed in these patients. In non-gated enhanced CT imaging, the infarcted myocardium is initially visible as a focal myocardial perfusion defect.
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spelling pubmed-70080582020-02-10 Potential Utility of Non-gated Enhanced Computed Tomography for an Early Diagnosis of Myocardial Infarctions Arai, Riku Fukamachi, Daisuke Ebuchi, Yasunari Akutsu, Naotaka Okumura, Yasuo Intern Med Case Report The diagnosis of acute myocardial infarctions (MIs) is challenging when no significant ischemic ST-segment changes are noted on a 12-lead electrocardiogram (ECG). We herein report two patients suffering from chest pain in whom non-gated enhanced computed tomography (CT) images were used to rule out aortic dissection and pulmonary embolism, aiding in the early diagnosis of an acute MI. Subsequently, urgent revascularization was successfully performed in these patients. In non-gated enhanced CT imaging, the infarcted myocardium is initially visible as a focal myocardial perfusion defect. The Japanese Society of Internal Medicine 2019-09-11 2020-01-15 /pmc/articles/PMC7008058/ /pubmed/31511486 http://dx.doi.org/10.2169/internalmedicine.3496-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Arai, Riku
Fukamachi, Daisuke
Ebuchi, Yasunari
Akutsu, Naotaka
Okumura, Yasuo
Potential Utility of Non-gated Enhanced Computed Tomography for an Early Diagnosis of Myocardial Infarctions
title Potential Utility of Non-gated Enhanced Computed Tomography for an Early Diagnosis of Myocardial Infarctions
title_full Potential Utility of Non-gated Enhanced Computed Tomography for an Early Diagnosis of Myocardial Infarctions
title_fullStr Potential Utility of Non-gated Enhanced Computed Tomography for an Early Diagnosis of Myocardial Infarctions
title_full_unstemmed Potential Utility of Non-gated Enhanced Computed Tomography for an Early Diagnosis of Myocardial Infarctions
title_short Potential Utility of Non-gated Enhanced Computed Tomography for an Early Diagnosis of Myocardial Infarctions
title_sort potential utility of non-gated enhanced computed tomography for an early diagnosis of myocardial infarctions
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008058/
https://www.ncbi.nlm.nih.gov/pubmed/31511486
http://dx.doi.org/10.2169/internalmedicine.3496-19
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