Document Detail


Incidental myocardial infarct on conventional nongated CT: a review of the spectrum of findings with gated CT and cardiac MRI correlation.
MedLine Citation:
PMID:  22357988     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Myocardial infarctions (MIs) are frequently evident on routine chest or abdominal CT, even when studies are not performed for cardiac-specific indications. However, the telltale signs of an MI may be easily overlooked. Herein, we present the spectrum of appearances of MIs, including areas of fat attenuation, myocardial calcifications, focal areas of wall thinning or aneurysm formation, and perfusion abnormalities. Thrombi, especially when present at the apex of the left ventricle, may also suggest an MI.
CONCLUSION: The increased use of CT in the evaluation of patients for a variety of indications gives the radiologist the unique opportunity to recognize findings consistent with MI in patients who may not have a prior diagnosis of ischemic heart disease.
Authors:
Jabi E Shriki; Jerold Shinbane; Christopher Lee; Abdur R Khan; Natalie Burns; Antereas Hindoyan; Alison Wilcox
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  198     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-23     Completed Date:  2012-04-27     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  496-504     Citation Subset:  AIM; IM    
Affiliation:
South Sound Radiology, 4217 Ensign Rd NE, Olympia, WA 98506, USA. jshriki@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Calcinosis / pathology,  radiography
Cardiac-Gated Imaging Techniques / methods*
Coronary Thrombosis / pathology,  radiography
Heart Aneurysm / pathology,  radiography
Humans
Incidental Findings
Lipomatosis / pathology,  radiography
Magnetic Resonance Imaging / methods*
Metaplasia
Myocardial Infarction / pathology,  radiography*
Tomography, X-Ray Computed / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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