Coronary plaque burden detected by multislice computed tomography after acute myocardial infarction with near-normal coronary arteries by angiography

Caussin, Christophe; Ohanessian, Alice; Lancelin, B; Rahal, Saliha; Hennequin, R; Dambrin, Grégoire; Brenot, Philippe; Angel, Claude; Paul, Jean-François

doi:10.1016/s0002-9149(03)00899-3

Cited by 51 publications

(20 citation statements)

References 14 publications

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“…The clinical diagnosis of myocarditis is made difficult by its variable and nonspecific presentations [2][3][4]. In addition to unexplained heart failure of recent onset, acute myocarditis commonly mimics myocardial infarction [5][6][7][8][9], or it may cause sudden unexpected death [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and presentation of fatal myocarditis

et al. 2005

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Section: Introductionmentioning

confidence: 99%

Diagnosis and presentation of fatal myocarditis

et al. 2005

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“…Moreover in 10% of patients with AMI only noncalcified lesions were present. In another study Caussin et al [39] found that nonclacified soft lesions were responsible for myocardial infarction in 5 of 5 patients. This observations imply that noncalcified lesions may be involved in the process leading to unstable coronary disease.…”

Section: Ct-imaging Of Noncalcified (Soft) Plaquesmentioning

confidence: 95%

Visualising noncalcified coronary plaques by CT

Leber

Knez

Becker

et al. 2005

Int J Cardiovasc Imaging

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Due to a rapid improvement of the new generation submillimetre multislice CT-technology noninvasive tomographic imaging of the coronary vessel wall has become reality. First clinical studies have shown the ability in particular of 16-slice CT to determine plaque burden, plaque composition and compensatory vessel-wall remodelling. These novel findings already constitute an important step forward to assess coronary atherosclerosis noninvasively in a detailed manner which opens promising new opportunities for a better understanding and riskstratification of coronary atherosclerosis. Current limitations, mainly the insufficient accuracy to detect small lesions in distal coronary segments, might be overcome by improved spatial and temporal resolution of the new generation scanners operating with 64 and more detectors.

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“…Soft and calcified regions may be identified in the same atheromatous plaque. Several studies have compared the characterization and volume of plaque by MDCT with intravascular ultrasound and found good correlation with some underestimation of plaque volume by MDCT and lower sensitivity to the presence of smaller plaques [24,99,100,101,102,103,104]. Areas of spotty calcification may be visualized (multiple small calcifications of <2 mm 2 in area) and are most common in patients with acute coronary syndromes [53, 104, 105].…”

Section: Assessment Of Coronary Atheromatamentioning

confidence: 99%

Current Status and Clinical Applications of Cardiac Multidetector Computed Tomography

Halon

Rubinshtein²,

Gaspar³

et al. 2007

Cardiology

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Contrast-enhanced multidetector-row computed tomography (MDCT) is now capable of providing high-quality noninvasive views of cardiac anatomy and ‘instant’ noninvasive coronary angiography. With current generation 64-slice scanners, MDCT can be performed in most patients with minimal patient discomfort and high diagnostic accuracy. MDCT may obviate the need for invasive diagnostic angiography in patients with borderline symptoms or equivocal noninvasive testing. It is useful in assessing the symptomatic patient postrevascularization and in emergency room triage in selected patients with chest pain. Calcified vessels are still difficult to assess, as is the accurate evaluation of implanted coronary stents. The volume of contrast material required for proper opacification limits the use of MDCT in patients with renal dysfunction, but newer emerging technologies will greatly improve these disadvantages in the near future. MDCT is expected to become an integral part of our diagnostic armamentarium in the cardiac patient.

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Coronary plaque burden detected by multislice computed tomography after acute myocardial infarction with near-normal coronary arteries by angiography

Cited by 51 publications

References 14 publications

Diagnosis and presentation of fatal myocarditis

Diagnosis and presentation of fatal myocarditis

Visualising noncalcified coronary plaques by CT

Current Status and Clinical Applications of Cardiac Multidetector Computed Tomography

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