Experience with multidetector computed tomography changes in acute myocardiatis

Background: Acute myocarditis can present as an ACS with elevated ST segment and elevated level of troponin mimicking myocardial infarction. Aim: To determine the potential diagnostic value of ECG-gated multidetector computed tomography (MDCT) in the setting of suspected acute myocarditis. Patients and methods: The study group consisted of 12 consecutive patients admitted for suspected acute myocarditis less than 5 days after onset of symptoms. All patients had clinical, electrocardiographic signs, and laboratory findings consistent with the diagnosis. ECGgated MDCT was performed in all patients and included a first-pass contrast-enhanced acquisition and a delayed low dose acquisition performed 5 min later without reinjection of contrast medium. 3 patients underwent cardiac MRI with injection of gadolinium. Results: The first-pass MDCT acquisition showed absence of coronary stenosis in all patients. Delayed MDCT acquisition, revealed multiple areas of sub epicardial myocardial hyperenhancement in 9 patients. This hyperhencement was confirmed in the 3 MRI examinations. Conclusion: ECG-gated MDCT could be a useful alternative non-invasive diagnostic test in the early phase of acute myocarditis, especially in the context of emergency and when MRI is unavailable.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Experience with multidetector computed tomography changes in acute myocardiatis ; volume:06 ; number:01 ; year:2014 ; pages:19-24 ; Ibnosina journal of medicine and biomedical sciences ; 06, Heft 01 (2014), 19-24

Contributors, Places and Time

• Contributor: Mizouni, Habiba ; Mghaieh, Fathia ; Bejar, Sofiane ; Ramzu, Amr ; Hedhli, Mohamed ; Mourali, Sami ; Mechmeche, Rachid ; Menif, Emna

Further information

• DOI: 10.4103/1947-489X.210351
• URN: urn:nbn:de:101:1-2022100922233281979493
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:38 AM CEST