Emergency Radiology

, Volume 20, Issue 3, pp 235–242

Mimics of acute coronary syndrome on MDCT

  • Mohammad Ali Husainy
  • Deepa Gopalan
  • Mini Pakkal
  • Vimal Raj
Pictorial Essay

DOI: 10.1007/s10140-012-1097-1

Cite this article as:
Husainy, M.A., Gopalan, D., Pakkal, M. et al. Emerg Radiol (2013) 20: 235. doi:10.1007/s10140-012-1097-1

Abstract

Acute coronary syndrome (ACS) encompasses a spectrum of unstable coronary artery disease ranging from transmural myocardial infarction to unstable angina. The immediate management of these patients is dictated by the presence/absence of ST segment changes on electrocardiogram. More and more patients with non-ST elevation ACS are bypassing traditional diagnostic pathways to undergo urgent coronary catheter angiography. A proportion of these patients will have normal coronary angiography and an alternative diagnosis is often sought with multi-detector computed tomography (MDCT). It is vital that clinicians and radiologists are aware of the usual and unusual mimics of ACS so they can modify their imaging technique and protocol accordingly. In this review, we present some true mimics of ACS on MDCT, from our practice, and suggest an imaging protocol that can be utilised universally.

Keywords

Acute coronary syndromeMimicsMDCT

Copyright information

© Am Soc Emergency Radiol 2012

Authors and Affiliations

  • Mohammad Ali Husainy
    • 1
  • Deepa Gopalan
    • 2
  • Mini Pakkal
    • 1
  • Vimal Raj
    • 1
  1. 1.Department of Clinical Radiology, Glenfield HospitalUniversity Hospitals of Leicester NHS TrustLeicesterUK
  2. 2.Department of Clinical RadiologyPapworth Hospital NHS Foundation TrustCambridgeshireUK