Computed Tomography Coronary Angiography in Patients With Acute Myocardial Infarction Without Significant Coronary Stenosis

A Aldrovandi, F. Cademartiri, D Arduini, D Lina, F Ugo, E Maffei, A (Alberto) Menozzi, C Martini, A Palumbo, F Bontardelli, T Gherli, L Ruffini, D Ardissino

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Abstract

Background-It is known that a significant number of patients experiencing an acute myocardial infarction have normal coronary arteries or nonsignificant coronary disease at coronary angiography (CA). Computed tomography coronary angiography (CTCA) can identify the presence of plaques, even in the absence of significant coronary stenosis. This study evaluated the role of 64-slice CTCA in detecting and characterizing coronary atherosclerosis in these patients. Methods and Results-Consecutive patients with documented acute myocardial infarction but without significant coronary stenosis at CA underwent late gadolinium-enhanced magnetic resonance and CTCA. Only the 50 patients with an area of myocardial infarction identified by late gadolinium-enhanced magnetic resonance were included in the study. All of the coronary segments were assessed for the presence of plaques. CTCA identified 101 plaques against the 41 identified by CA: 61 (60.4%) located in inf Conclusions-CTCA detects coronary plaques in nonstenotic coronary arteries that are underestimated by CA, and identifies a different distribution of plaque types in IRAs and non-IRAs. It may therefore be valuable for diagnosing coronary atherosclerosis in acute myocardial infarction patients without significant coronary stenosis. (Circulation. 2012;126:3000-3007.)
Original languageUndefined/Unknown
Pages (from-to)3000-3007
Number of pages8
JournalCirculation
Volume126
Issue number25
DOIs
Publication statusPublished - 2012

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