Incidental findings of acute myocardial infarction detected during ECG-gated and nongated thoracic CTA: A report of four cases

Alessandra Luciano, MD; Spiritigliozzi Luigi, MD; Leonardo Mancuso, MD; Dell'Olio Vito, MD; Vincenzo De Stasio, MD; Luca Pugliese, MD; Carlo Di Donna, MD; Francesco Garaci, PhD; Roberto Floris, PhD; Marcello Chiocchi, PhD

Radiology Case Reports (Aug 2023)

Incidental findings of acute myocardial infarction detected during ECG-gated and nongated thoracic CTA: A report of four cases

Alessandra Luciano, MD,
Spiritigliozzi Luigi, MD,
Leonardo Mancuso, MD,
Dell'Olio Vito, MD,
Vincenzo De Stasio, MD,
Luca Pugliese, MD,
Carlo Di Donna, MD,
Francesco Garaci, PhD,
Roberto Floris, PhD,
Marcello Chiocchi, PhD

Affiliations

Alessandra Luciano, MD: Corresponding author.; Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Spiritigliozzi Luigi, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Leonardo Mancuso, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Dell'Olio Vito, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Vincenzo De Stasio, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Luca Pugliese, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Carlo Di Donna, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Francesco Garaci, PhD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Roberto Floris, PhD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Marcello Chiocchi, PhD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy

Journal volume & issue: Vol. 18, no. 8
pp. 2567 – 2573

Abstract

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Worldwide, myocardial infarction is a leading cause of mortality and disability. The phrase ``myocardial infarction'' refers to ischemia, which is the outcome of an imbalance in perfusion between supply and demand and results in the death of cardiac myocytes Myocardial ischemia is often diagnosed based on the patient's medical history and electrocardiogram (ECG) findings. Potential ischemic symptoms include a variety of chest, upper extremity, jaw, or epigastric pain or discomfort that typically lasts at least 20 minutes, is diffuse, not positional, not localized, not dependent on movement of the area, and may be accompanied by syncope, dyspnea, or nausea. These symptoms can occur at rest or after physical activity. These symptoms may be mistaken for other conditions since they are not specific to myocardial ischemia.Radiologists play a crucial role in this scenario since imaging is increasingly being used to identify and categorize these individuals. We report 4 cases of myocardial infarction presenting without chest pain and discovered incidentally during imaging tests.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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