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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Detalhes bibliográficos
Autores: Ventosa-Fernandez, Guillermo, Padrol, Daniel, Vidal Bonet, Laura, Fletcher-Sanfeliu, Delfina, Enriquez, Fernando, Tarrio-Fernandez, Ruben, Barril, Ramon, Saez de Ibarra, Jose Ignacio
Tipo de documento: artigo
Data de publicação:2019
País:España
Recursos:Instituto de Salud Carlos III (ISCIII)
Repositório:Repisalud
Idioma:espanhol
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/22688
Acesso em linha:https://hdl.handle.net/20.500.12105/22688
Access Level:Acceso aberto
Palavra-chave:Computed tomography coronary angiography
Coronary artery imaging
Myocardial infarction
Mechanical complications
Descrição
Resumo: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.

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