Cookies used for improved website experience

Siemens Healthineers and our partners use cookies and other similar technologies to operate the Siemens Healthineers websites and personalize content and ads. You may find out more about how we use cookies by clicking "Show details" or by referring to our Cookie Policy.
You may allow all cookies or select them individually. And you may change your consent and cookie preferences anytime by clicking on the "Review and change your consent" button on the Cookie Policy page.

A Comprehensive Cardiac CT Examination – CT Angiography, CT Stress Perfusion and CT Delayed Enhancement

Satoshi Nakamura, MD; Kakuya Kitagawa, MD; Nagasawa Naoki, RT, and Hajime Sakuma, MD;
Department of Radiology, Mie University Hospital, Tsu, Japan
|2017-01-03

A 79-year-old male patient was referred to our hospital for a follow-up of his coronary heart disease. He was on medication for hypertension and was asymptotic. The referring physician reported that the patient was diagnosed with multiple significant stenoses (#1 90%, #2 99%, #5 50%, #7 50% and #13 75%) by invasive coronary angiography in 2001, but had refused to undergo invasive revascularization. In 2010, the referring physician convinced the patient to undergo cardiac MR for follow-up. A sub-endocardial myocardial infarction with ischemia in the inferior wall was revealed. The patient again preferred not to be treated by invasive angiography. Although multiple coronary stenoses were known, the main concern was whether the myocardial infarction or ischemia had worsened. This time, cardiac CT was indicated and an integrated cardiac CT examination was performed to assess the coronary arteries as well as the condition of the myocardium.