Heart wall rupture after a false negative computed tomography coronary angiography

Computed tomography coronary angiography (CTCA) is considered to be the highest sensitivity, noninvasive test for the diagnosis of coronary artery disease, with a negative predictive value of 97 to 99%. The case is presented of a ventricular free wall rupture after myocardial infarction, with a dela...

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Detalles Bibliográficos
Autores: Ventosa, Guillermo, Padrol, Daniel, Vidal Bonet, Laura, Fletcher-Sanfeliu, Delfina, Fernández Tarrío, Rubén, Enriquez, Fernando, Barril, Ramon, Saez de Ibarra, Jose Ignacio
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:español
OAI Identifier:oai:docusalut.com:20.500.13003/17269
Acceso en línea:https://hdl.handle.net/20.500.13003/17269
Access Level:acceso abierto
Palabra clave:Computed tomography coronary angiography
Coronary artery imaging
Myocardial infarction
Mechanical complications
Descripción
Sumario:Computed tomography coronary angiography (CTCA) is considered to be the highest sensitivity, noninvasive test for the diagnosis of coronary artery disease, with a negative predictive value of 97 to 99%. The case is presented of a ventricular free wall rupture after myocardial infarction, with a delayed diagnosis due to a false negative CTCA result. We believe that this case highlights possible limitations of widening CTCA indications and the importance of experience in the correct interpretation of the test.