Demonstration of Acute Myocardial Infarction by Subsecond Spiral Computed Tomography

Case 1. An 85-year-old woman was hospitalized after 3 hours of chest pain and dyspnea. She was diagnosed as having anteroseptal acute myocardial infarction (AMI) from her symptoms and the ECG (elevated ST-T in leads I, aVL, and V1 through V3). She had to wait for emergency coronary angiography (CAG), because another patient with AMI was occupying the catheter laboratory. During her standby status, contrast-enhancement spiral CT was performed (Figure 1a⇓). Total occlusion of the left anterior descending coronary artery (segment 7) was observed by the CAG. Six days after successful direct PTCA, plain and Gd-enhancement T1-weighted MRI was performed (Figure 1b⇓). Three days after the PTCA, dual SPECT with 99m …