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CT Detection of Acute Myocardial Infarction

Amy Gosalia1, Linda B. Haramati, Milan P. Sheth and Hugo Spindola-Franco

1 All authors: Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210 St., Bronx, NY 10467.



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  		Fig. 1A. —70-year-old man 1 day after acute myocardial infarction (MI). Axial contrast-enhanced chest CT images obtained at level of heart show sharply demarcated area of decreased enhancement in lateroposterior wall of left ventricle in location of acute MI.

 


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  		Fig. 1B. —70-year-old man 1 day after acute myocardial infarction (MI). Axial contrast-enhanced chest CT images obtained at level of heart show sharply demarcated area of decreased enhancement in lateroposterior wall of left ventricle in location of acute MI.

 


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  		Fig. 2A. —50-year-old woman 3 days after acute myocardial infarction (MI). Axial contrast-enhanced chest CT images obtained at level of heart show sharply demarcated area of decreased enhancement in lateral wall of left ventricle in location of acute MI.

 


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  		Fig. 2B. —50-year-old woman 3 days after acute myocardial infarction (MI). Axial contrast-enhanced chest CT images obtained at level of heart show sharply demarcated area of decreased enhancement in lateral wall of left ventricle in location of acute MI.

 


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  		Fig. 3A. —40-year-old man 2 days after acute myocardial infarction (MI). Axial contrast-enhanced chest CT images obtained at level of heart show sharply demarcated area of decreased enhancement in left ventricular apex and apical septum in location of acute MI.

 


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  		Fig. 3B. —40-year-old man 2 days after acute myocardial infarction (MI). Axial contrast-enhanced chest CT images obtained at level of heart show sharply demarcated area of decreased enhancement in left ventricular apex and apical septum in location of acute MI.

 


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  		Fig. 4A. —72-year-old man 12 days after acute myocardial infarction (MI) that was detected quantitatively but not visually. Contrast-enhanced chest CT image of heart shows subtle decrease in enhancement of left ventricular apex in location of acute MI. Area of decreased attenuation was not detected visually.

 


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  		Fig. 4B. —72-year-old man 12 days after acute myocardial infarction (MI) that was detected quantitatively but not visually. Contrast-enhanced chest CT image of heart obtained at same level as A shows Hounsfield unit values placed along interventricular septum, apex, and lateral walls of left ventricle.

 

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