Journal Article ACUTE MYOCARDIAL INFARCTION SUSPECTED ON CONTRASTENHANCED COMPUTED TOMOGRAPHY : A CASE REPORT

WADA, Yuki  ,  ISHIYAMA, Koichi  ,  TOZAWA, Tomoki  ,  TAKAGI, Noriko  ,  HASHIMOTO, Manabu  ,  MIYAUCHI, Takaharu  ,  AOKI, Isamu  ,  IWAYA, Masato  ,  TERUI, Gen

42 ( 1 )  , pp.43 - 47 , 2015-06-30 , 秋田医学会
ISSN:03866106
NCID:AN00009294
Description
A 69-year-old man with severe chest pain was admitted to our hospital. No evidence of acutemyocardial infarction (AMI) was seen on laboratory data, electrocardiogram (ECG), and ultrasonicechocardiography (UCG). Contrast-enhanced computed tomography (CECT) was performed torole out aortic dissection and pulmonary embolism (PE). CECT images showed the hypoenhancementof posterior wall in the left ventricle. AMI was suspected based on the symptomsand CECT imaging. Coronary angiography (CAG) was performed, and the left coronary angiogramshowed total occlusion of segment 13. Percutaneous cardiac intervention (PCI) was immediatelyperformed, and the patient was discharged 15 days after admission with nocomplications. It is important to check the myocardial enhancement when we interpret CTimages of patients with chest pain.
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