Jabri Ahmad, Alhuneafat Laith, Alameh Anas, Al-Abdouh Ahmad, Mhanna Mohammed, Hamade Hani, Nasser Farhan, Yousaf Adnan, Aneja Ashish
Heart and Vascular Center, MetroHealth Medical Center, Cleveland, Ohio.
Department of Medicine, Allegheny Health Network, Pittsburgh, Pennsylvania.
Proc (Bayl Univ Med Cent). 2022 Aug 12;35(6):827-829. doi: 10.1080/08998280.2022.2106416. eCollection 2022.
Contrast-enhanced computed tomography (CT) is frequently utilized to evaluate patients who present to the emergency department with chest pain for a pulmonary or aortic disease but is not routinely used to evaluate for acute myocardial infarction (AMI). Decreased myocardial enhancement in non-electrocardiogram-gated contrast-enhanced CT has been proposed to indicate AMI. These two cases highlight the importance of carefully evaluating the myocardium for perfusion defects on non-gated chest CT scans in patients suspected of having AMI.
对比增强计算机断层扫描(CT)常用于评估因胸痛前往急诊科就诊的患者是否患有肺部或主动脉疾病,但通常不用于评估急性心肌梗死(AMI)。非心电图门控对比增强CT中心肌强化减弱被认为提示AMI。这两例病例强调了在怀疑患有AMI的患者的非门控胸部CT扫描中仔细评估心肌灌注缺损的重要性。