Acute myocardial infarction on Nongated chest computed tomography

Abstract

Contrast-enhanced chest computed tomography (CT) is not considered part of the evaluation of myocardial infarction. However, acute myocardial infarction has been detected on contrast-enhanced chest CT as areas of decreased myocardial enhancement in patients evaluated for other indications, such as pulmonary embolism and aortic dissection. We present a case of acute myocardial infarction on a nongated chest CT in a 67-year-old male who presented with atypical chest pain and initial nondiagnostic electrocardiogram. This case highlights that acute myocardial infarction may be detectable on contrast-enhanced CT. When evaluating contrast-enhanced chest CT's for other etiologies of chest pain, radiologists should look for potential myocardial perfusion abnormalities that can provide clues to the presence of myocardial infarction.

Dolor tóraco-abdominal: “Si miras el corazón, encontrarás la razón”. Serie de casos

“…Dentro de los principales diagnósticos frente a un dolor torácico encontramos patologías tan diversas como neumonía, embolia pulmonar, necrosis de la grasa epi pericárdica, fracturas costales, pericarditis e infarto agudo al miocardio. Algunas de estas entidades, como la necrosis grasa epi pericárdica, neumonías basales o el infarto agudo al miocardio, pueden tener como manifestación el malestar en la región abdominal 1,2 . La irritación de la pleura diafragmática es probablemente una de las principales causas de síntomas abdominales en pacientes con patología torácica 1 .…”