CTICasesAtypical Acute myocardial Infarction
Imaging findings
CTA of the chest in an 81-year-old female presenting with atypical back pain shows thinned anterior left ventricular myocardium with a persistent myocardial perfusion defect. Coronary angiography confirmed severe left anterior descending (LAD) artery disease.
Key takeaways
Myocardial infarction can present atypically (e.g., back pain, nausea) in elderly female patients. Coronary perfusion defects and myocardial thinning can be identified on standard chest CT scans done for other indications.
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