長尾 充展
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Associate Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Myocardial hypoenhancement in a case of acute coronary syndrome with normal coronary arteries: demonstration by 64-slice multidetector computed tomography.
Journal Formal name:Japanese journal of radiology
Abbreviation:Jpn J Radiol
ISSN code:(1867-108X)1867-1071(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 28(10),pp.763-6
Author and coauthor Nagao Michinobu, Matsuoka Hiroshi, Kawakami Hideo, Higashino Hiroshi, Okayama Hideki, Mochizuki Teruhito
Authorship Lead author,Corresponding author
Publication date 2010/12
Summary A 48-year-old man presented with severe chest pain that had started 2 h before and ST elevation on the electrocardiogram. Cardiac computed tomography (CT) was performed using a 64-slice multidetector scanner (MDCT) to assess coronary artery stenosis at 3 h after the onset. Coronary CT angiography showed no significant stenosis at the coronary arteries, but CT myocardial images at systole demonstrated predominantly subendocardial hypoenhancement in the anterior wall. Cardiac CT that combined coronary angiography and myocardial imaging demonstrated myocardial hypoenhancement in a case of acute coronary syndrome with normal coronary arteries, which may be related to microvascular dysfunction caused by vasospastic angina or microvascular angina.
DOI 10.1007/s11604-010-0483-4
PMID 21191743