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Evidence of acute myocardial infarction on CT

Departments of Radiology and Internal Medicine, Beth Israel Medical Center, First Avenue at 16th St., New York, NY 10003, USA

Correspondence: Dr John Arnett, 353 East 17th Street, Apartment 16E, New York, NY 10003, USA. E-mail: john.arnett{at}rcn.com

Improvements in CT technology, specifically with respect to the development of multi-row detector CT, have increased the ability to detect acute myocardial ischaemia. This case report details the finding of decreased myocardial enhancement on CT in a patient who complained of acute chest symptomalogy and was diagnosed with acute myocardial infarction, which was subsequently confirmed by cardicac catheterization. Given the variability of the clinical presentation of acute myocardial infarction, greater attention should be paid by radiologists to myocardial enhancement in patients with significant coronary risk factors, as evidence of acute myocardial infarct or ischaemia may be detected.