Acute anterior myocardial infarction seen on conventional iodine-contrast CT

Acute anterior myocardial infarction seen on conventional iodine-contrast CT

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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 Latest Product Releases & Innovations – Stay Updated! 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 here scans sometimes give a unique opportunity to recognize findings consistent with MI even though the CT scan was performed for another reason.