Skip to main content
SpringerLink
Log in

Myocardial infarction imaging by CT

  • Published:
Current Cardiovascular Imaging Reports Aims and scope Submit manuscript

Abstract

Several recent studies have demonstrated that cardiac CT can accurately diagnose both acute and chronic areas of myocardial infarction. Furthermore, when performed in the setting of acute infarction, CT can be helpful in predicting the degree of functional recovery. Given that such findings can have important clinical implications, it is necessary to integrate the assessment of myocardial perfusion, and when available, myocardial function into the routine evaluation of contrast-enhanced cardiac CT. This article presents an overview of prior studies examining the diagnostic accuracy of detection of myocardial infarction. Building on that background, practical tips that can be helpful in the recognition of myocardial infarction are reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References and Recommended Reading

  1. Kaul S, Ito H: Microvasculature in acute myocardial ischemia: part II: evolving concepts in pathophysiology, diagnosis, and treatment. Circulation 2004, 109:310–315.

    Article  PubMed  Google Scholar 

  2. Kaul S, Ito H: Microvasculature in acute myocardial ischemia: part I: evolving concepts in pathophysiology, diagnosis, and treatment. Circulation 2004, 109:146–149.

    Article  PubMed  Google Scholar 

  3. Nucifora G, Marsan NA, Siebelink HM, et al.: Safety of contrast-enhanced echocardiography within 24 h after acute myocardial infarction. Eur J Echocardiogr 2008 Jul 16 (Epub ahead of print).

  4. Hoffmann U, Nagurney JT, Moselewski F, et al.: Coronary multidetector computed tomography in the assessment of patients with acute chest pain. Circulation 2006, 114:2251–2260.

    Article  PubMed  Google Scholar 

  5. Gallagher MJ, Ross MA, Raff GL, et al.: The diagnostic accuracy of 64-slice computed tomography coronary angiography compared with stress nuclear imaging in emergency department low-risk chest pain patients. Ann Emerg Med 2007, 49:125–136.

    Article  PubMed  Google Scholar 

  6. Choi EK, Koo BK, Kim HS, et al.: Prognostic significance of asymptomatic coronary artery disease in patients with diabetes and need for early revascularization therapy. Diabet Med 2007, 24:1003–1011.

    Article  PubMed  CAS  Google Scholar 

  7. Einstein AJ, Moser KW, Thompson RC, et al.: Radiation dose to patients from cardiac diagnostic imaging. Circulation 2007, 116:1290–1305.

    Article  PubMed  Google Scholar 

  8. Cury RC, Nieman K, Shapiro MD, et al.: Comprehensive assessment of myocardial perfusion defects, regional wall motion, and left ventricular function by using 64-section multidetector CT. Radiology 2008, 248:466–475.

    Article  PubMed  Google Scholar 

  9. Gerber BL, Belge B, Legros GJ, et al.: Characterization of acute and chronic myocardial infarcts by multidetector computed tomography: comparison with contrast-enhanced magnetic resonance. Circulation 2006, 113:823–833.

    Article  PubMed  Google Scholar 

  10. Habis M, Capderou A, Ghostine S, et al.: Acute myocardial infarction early viability assessment by 64-slice computed tomography immediately after coronary angiography: comparison with low-dose dobutamine echocardiography. J Am Coll Cardiol 2007, 49:1178–1185.

    Article  PubMed  Google Scholar 

  11. Lessick J, Dragu R, Mutlak D, et al.: Is functional improvement after myocardial infarction predicted with myocardial enhancement patterns at multidetector CT? Radiology 2007, 244:736–744.

    Article  PubMed  Google Scholar 

  12. Mahnken AH, Koos R, Katoh M, et al.: Assessment of myocardial viability in reperfused acute myocardial infarction using 16-slice computed tomography in comparison to magnetic resonance imaging. J Am Coll Cardiol 2005, 45:2042–2047.

    Article  PubMed  Google Scholar 

  13. Nieman K, Cury RC, Ferencik M, et al.: Differentiation of recent and chronic myocardial infarction by cardiac computed tomography. Am J Cardiol 2006, 98:303–308.

    Article  PubMed  Google Scholar 

  14. Nieman K, Shapiro MD, Ferencik M, et al.: Reperfused myocardial infarction: contrast-enhanced 64-section CT in comparison to MR imaging. Radiology 2008, 247:49–56.

    Article  PubMed  Google Scholar 

  15. Nikolaou K, Sanz J, Poon M, et al.: Assessment of myocardial perfusion and viability from routine contrast-enhanced 16-detector-row computed tomography of the heart: preliminary results. Eur Radiol 2005, 15:864–871.

    Article  PubMed  Google Scholar 

  16. Rubinshtein R, Miller TD, Kirsch J, et al.: Detection of myocardial infarction by dual source CT coronary angiography using quantitated SPECT as the reference standard. J Am Coll Cardiol 2008, 51:supplement A.

  17. Gerber BL, Rochitte CE, Melin JA, et al.: Microvascular obstruction and left ventricular remodeling early after acute myocardial infarction. Circulation 2000, 101:2734–2741.

    PubMed  CAS  Google Scholar 

  18. Choi HS, Choi BW, Choe KO, et al.: Pitfalls, artifacts, and remedies in multi-detector row CT coronary angiography. Radiographics 2004, 24:787–800.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Baptist Cardiac and Vascular Institute, 8900 N. Kendall Drive, Miami, FL, 33176, USA

    Ricardo C. Cury

Authors
  1. Ron Blankstein
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ricardo C. Cury
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ricardo C. Cury.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Blankstein, R., Cury, R.C. Myocardial infarction imaging by CT. curr cardiovasc imaging rep 1, 105–111 (2008). https://doi.org/10.1007/s12410-008-0016-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12410-008-0016-z

Keywords

Search

Navigation