Cardiac Unit, Altnagelvin Hospital, Western HSC Trust, Glenshane Road, Derry, UK.
Ir J Med Sci. 2012 Mar;181(1):111-3. doi: 10.1007/s11845-009-0388-3. Epub 2009 Jul 18.
Cardiac computed-tomographic angiography (CTA) has gained widespread acceptance as a useful non-invasive technique in the assessment of coronary artery disease. Although most interest has focused on coronary vessels, analysis of myocardial perfusion, left ventricular wall motion, ejection fraction and left ventricular structure can easily be performed at the same time allowing comprehensive assessment of anatomy and function in a single examination. We present a case of acute ST elevation myocardial infarction where cardiac catheterization was deferred, but assessment by CTA permitted a management plan to be constructed using rest perfusion and blood pool inversion analyses of the dataset obtained during the coronary artery study.
Coronary CT angiography can provide a comprehensive assessment of coronary arteries, myocardial perfusion and structural features in those not suitable for coronary angiography after myocardial infarction.
心脏计算机断层扫描血管造影术（CTA）已作为一种有用的非侵入性技术，在冠状动脉疾病评估中得到广泛认可。尽管大多数研究集中在冠状动脉血管上，但同时也可以轻松地进行心肌灌注、左心室壁运动、射血分数和左心室结构的分析，从而在单次检查中实现解剖结构和功能的全面评估。我们报告了一例急性 ST 段抬高型心肌梗死患者，该患者延迟进行了心脏导管术，但通过 CTA 评估，利用在冠状动脉研究过程中获得的数据集进行静息灌注和血池反转分析，构建了管理方案。
对于心肌梗死后不适合进行冠状动脉造影的患者，冠状动脉 CT 血管造影术可以提供冠状动脉、心肌灌注和结构特征的全面评估。
