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Case Report| Volume 33, ISSUE 1, P128.e5-128.e7, January 01, 2015

Could contrast-enhanced CT detect STEMI prior to electrocardiogram?

Published:July 01, 2014DOI:https://doi.org/10.1016/j.ajem.2014.06.039
Could contrast-enhanced CT detect STEMI prior to electrocardiogram?
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      We present here a case in which contrast-enhanced computed tomography (CT) was the first diagnostic tool to detect myocardial hypoperfusion in a patient with atypical symptoms and normal electrocardiogram (ECG) on admission. An ST-segment elevation was detected thereafter on a second ECG realized several minutes after CT with raised troponin levels. Percutaneous coronary intervention was performed after failure of thrombolysis and confirmed occlusion of the left anterior descending artery. Further studies are needed to evaluate the role of high-resolution contrast-enhanced CT with or without coronary angiography in the workup of suspected myocardial infarction in the setting of a normal ECG.
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      Article Info

      Publication History

      Published online: July 01, 2014
      Accepted: June 19, 2014
      Received: June 6, 2014

      Footnotes

      ☆All authors disclose no conflict of interest.

      Identification

      DOI: https://doi.org/10.1016/j.ajem.2014.06.039

      Copyright

      © 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.

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