Sueta Daisuke, Oda Seitaro, Izumiya Yasuhiro, Kaikita Koichi, Kidoh Masafumi, Utsunomiya Daisuke, Yamashita Yasuyuki, Tsujita Kenichi
Department of Cardiovascular Medicine, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.
Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.
Emerg Radiol. 2019 Feb;26(1):109-112. doi: 10.1007/s10140-018-1610-2. Epub 2018 May 7.
Cardiac computed tomography (CT) now plays an important role in emergency settings because of its accessibility and fast acquisition time, which cardiac magnetic resonance imaging (CMR) cannot match. Although cardiac CT was originally conceived for the assessment of the coronary artery tree, it has evolved to embrace several non-coronary applications. These include myocardial assessment, resulting in myocardial characterization comparable with that of CMR and cardiac CT for late enhancement imaging. In this report, we describe a patient with takotsubo cardiomyopathy who underwent a comprehensive assessment using cardiac CT. This technique enabled to identify the condition of the coronary arteries and to evaluate the four-dimensional left ventricular function and myocardial late iodine enhancement immediately. The information obtained was similar to that provided by CMR; however, cardiac CT is more practical than CMR in emergency settings. Comprehensive assessment by cardiac CT can be beneficial for a noninvasive evaluation of patients with suspected takotsubo cardiomyopathy.
由于心脏计算机断层扫描（CT）具有可及性且采集时间短，目前在急诊环境中发挥着重要作用，这是心脏磁共振成像（CMR）所无法比拟的。尽管心脏CT最初是为评估冠状动脉树而设计的，但它已经发展到涵盖多种非冠状动脉应用。这些应用包括心肌评估，其心肌特征与CMR相当，并且心脏CT可用于延迟强化成像。在本报告中，我们描述了一名患有应激性心肌病的患者，该患者接受了心脏CT的全面评估。这项技术能够立即识别冠状动脉状况，并评估四维左心室功能和心肌晚期碘增强情况。所获得的信息与CMR提供的信息相似；然而，在急诊环境中，心脏CT比CMR更实用。心脏CT的全面评估对于疑似应激性心肌病患者的无创评估可能有益。
