Hagdrup Christian, Ulriksen Peter Sommer, Madsen Per Lav
Department of Cardiology, Copenhagen University Hospital, Herlev, Copenhagen, Denmark.
Department of Radiology, Copenhagen University Hospital, Herlev, Copenhagen, Denmark.
Radiol Case Rep. 2017 Jul 1;12(3):635-637. doi: 10.1016/j.radcr.2017.05.010. eCollection 2017 Sep.
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 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 scans sometimes give a unique opportunity to recognize findings consistent with MI even though the CT scan was performed for another reason.
急性心肌梗死（AMI）的诊断基于胸痛和呼吸困难的临床症状，结合心电图变化以及心肌特异性生物标志物的升高。成像检查采用超声心动图和磁共振成像。识别既往心肌梗死（MI）的首选技术是延迟钆增强磁共振成像，但对于急性患者则应用超声心动图。在某些特定情况下，可从其他成像方式获得重要信息。我们描述了一例最初怀疑为腹部急症的患者，通过碘对比剂计算机断层扫描（CT）诊断为急性心肌梗死。我们的病例以及文献中报道的其他一些病例表明，在急性患者中，心肌的对比增强情况值得关注，因为尽管CT扫描是出于其他原因进行的，但有时它能提供一个独特的机会来识别与心肌梗死相符的表现。
