• Am J Emerg Med · Jan 2015

    Case Reports Historical Article

    Could contrast-enhanced computed tomography detect ST-segment elevation myocardial infarction prior to electrocardiogram? A case report.

    • Chadi Sabbagh, Mayda Rahi, Maria Baz, Fadi Haddad, Omar Helwe, Noel Aoun, Tony Ibrahim, and Lynn Abdo.
    • Emergency Department, Hotel Dieu de France Teaching Hospital, Saint Joseph University, Beirut, Lebanon.
    • Am J Emerg Med. 2015 Jan 1;33(1):128.e5-7.

    AbstractWe 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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