[Cardiac CT and MRI in acute coronary syndrome].
Acute coronary syndrome, with an estimated prevalence of 300 000 cases annually in France, is one of the principal diagnostic and therapeutic emergencies in atheroma. In cases of atypical chest pain, with or without signs of severity, coronary, aortic and pulmonary CT should allow emergency specialists to rule out rapidly diagnoses of coronary disease, pulmonary embolism, aortic dissection or other chest conditions. Should acute coronary syndrome develop after immediate therapeutic management, a cardiac MRI will provide the cardiologist with the additional data necessary to assess the patient's prognosis--especially by assessing myocardial viability--and decide on subsequent management. In cases of acute coronary syndrome with normal coronary angiography, cardiac MRI can distinguish myocardial infarction from myocarditis or from Tako Tsubo syndrome.
Labeyrie
Marc-Antoine
MA
Service de radiologie A, AP-HP, Hôpital Cochin, F-75014 Paris, France.
Marmursztejn
Julien
J
Daoud
Béatrice
B
Vignaux
Olivier
O
D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D009203:Myocardial Infarction / Q000175:diagnosis / Q000628:therapy; D009204:Myocardial Revascularization / Q000009:adverse effects; D009205:Myocarditis / Q000175:diagnosis; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis; D014057:Tomography, X-Ray Computed