Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Acute Myocardial Infarction with Myocardial Perfusion Defect Detected by Contrast-Enhanced Computed Tomography
Tetsuo Ichinose, Miki Yamase, Yuki Yokomatsu, Yasunobu Kawano, Hakuoh Konishi, Kosei Tanimoto, Tetsuya Oigawa, Youichi Katoh, Yuji Nakazato, Satoru Suwa, Hidehiko Sakurai, Masataka Sumiyoshi
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Keywords: contrast-enhanced computed tomography (CE-CT), myocardial perfusion, acute coronary syndrome (ACS) and acute myocardial infarction (AMI)
JOURNAL OPEN ACCESS

2009 Volume 48 Issue 14 Pages 1235-1238

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Abstract

The first case was a 68-year-old woman who had acute migratory pain from back to anterior chest and the second case was 66-year-old man with a cardiac tamponade. Two cases were demonstrated with a low density area of the left ventricular postero-lateral wall with conventional contrast-enhanced computed tomography (CE-CT) performed to differentiate the diagnosis of acute coronary syndrome and acute aortic dissection. Subsequent coronary angiograms showed the lesions of left circumflex. These cases of early contrast-defect corresponded to a decreased myocardial blood flow with AMI. CE-CT image facilitated the diagnosis of AMI preceding CAG examination.

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© 2009 by The Japanese Society of Internal Medicine
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