Acute anterior myocardial infarction seen on conventional iodine-contrast CT

Diagnosis of acute myocardial infarction (AMI) is based on clinical symptoms of chest pain and dyspnea in combination with electrocardiographic changes and a raise in myocardial-specific biomarkers. Imaging is by echocardiography and magnetic resonance. The preferred technique for identification of...

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Main Authors: Christian Hagdrup, MD, Peter Sommer Ulriksen, MD, Per Lav Madsen, MD, DMSc
Format: Article
Language:English
Published: Elsevier 2017-09-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043317301851
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author Christian Hagdrup, MD
Peter Sommer Ulriksen, MD
Per Lav Madsen, MD, DMSc
author_facet Christian Hagdrup, MD
Peter Sommer Ulriksen, MD
Per Lav Madsen, MD, DMSc
author_sort Christian Hagdrup, MD
collection DOAJ
description Diagnosis of acute myocardial infarction (AMI) is based on clinical symptoms of chest pain and dyspnea in combination with electrocardiographic changes and a raise in myocardial-specific biomarkers. Imaging is by echocardiography and magnetic resonance. The preferred technique for identification of previous myocardial infarction (MI) is magnetic resonance imaging with late gadolinium technique, but in the acute patient echocardiography is applied. In selected cases, important information can be obtained from other imaging modalities. We describe a case of a patient first suspected of an abdominal catastrophe in whom acute MI was diagnosed from a computerized tomography (CT) scan with iodine contrast. Our case together with a few other cases reported in the literature demonstrate that contrast enhancement of the myocardium can be important to follow in the acute patient because the CT scans sometimes give a unique opportunity to recognize findings consistent with MI even though the CT scan was performed for another reason.
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spelling doaj.art-0ec0b97109754837aa1faebb0be60dde2022-12-21T19:06:13ZengElsevierRadiology Case Reports1930-04332017-09-0112363563710.1016/j.radcr.2017.05.010Acute anterior myocardial infarction seen on conventional iodine-contrast CTChristian Hagdrup, MD0Peter Sommer Ulriksen, MD1Per Lav Madsen, MD, DMSc2Department of Cardiology, Copenhagen University Hospital, Herlev, Copenhagen, DenmarkDepartment of Radiology, Copenhagen University Hospital, Herlev, Copenhagen, DenmarkDepartment of Cardiology, Copenhagen University Hospital, Herlev, Copenhagen, DenmarkDiagnosis of acute myocardial infarction (AMI) is based on clinical symptoms of chest pain and dyspnea in combination with electrocardiographic changes and a raise in myocardial-specific biomarkers. Imaging is by echocardiography and magnetic resonance. The preferred technique for identification of previous myocardial infarction (MI) is magnetic resonance imaging with late gadolinium technique, but in the acute patient echocardiography is applied. In selected cases, important information can be obtained from other imaging modalities. We describe a case of a patient first suspected of an abdominal catastrophe in whom acute MI was diagnosed from a computerized tomography (CT) scan with iodine contrast. Our case together with a few other cases reported in the literature demonstrate that contrast enhancement of the myocardium can be important to follow in the acute patient because the CT scans sometimes give a unique opportunity to recognize findings consistent with MI even though the CT scan was performed for another reason.http://www.sciencedirect.com/science/article/pii/S1930043317301851Acute myocardial infarctionMagnetic resonance imagingComputerized tomographyIschemic heart diseaseIodine-contrast CT
spellingShingle Christian Hagdrup, MD
Peter Sommer Ulriksen, MD
Per Lav Madsen, MD, DMSc
Acute anterior myocardial infarction seen on conventional iodine-contrast CT
Radiology Case Reports
Acute myocardial infarction
Magnetic resonance imaging
Computerized tomography
Ischemic heart disease
Iodine-contrast CT
title Acute anterior myocardial infarction seen on conventional iodine-contrast CT
title_full Acute anterior myocardial infarction seen on conventional iodine-contrast CT
title_fullStr Acute anterior myocardial infarction seen on conventional iodine-contrast CT
title_full_unstemmed Acute anterior myocardial infarction seen on conventional iodine-contrast CT
title_short Acute anterior myocardial infarction seen on conventional iodine-contrast CT
title_sort acute anterior myocardial infarction seen on conventional iodine contrast ct
topic Acute myocardial infarction
Magnetic resonance imaging
Computerized tomography
Ischemic heart disease
Iodine-contrast CT
url http://www.sciencedirect.com/science/article/pii/S1930043317301851
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AT perlavmadsenmddmsc acuteanteriormyocardialinfarctionseenonconventionaliodinecontrastct