CCTA with perivascular inflammation mapping successfully identified a highly inflamed, vulnerable plaque with an FAI score of 6.0 in a 49-year-old woman immediately before she developed a STEMI.
Case Report (n=1)
No
Perivascular inflammation mapping on CCTA can identify high-risk, highly inflamed plaques immediately preceding acute myocardial infarction.
Abstract In the modern management of coronary artery disease (CAD), cardiac computed tomography angiography (CCTA) has emerged as a pivotal diagnostic tool, offering detailed visualization of coronary artery lumens and atherosclerotic plaques. We present the case of a 49-year-old woman, with no prior cardiovascular history but with several risk factors, in whom CCTA identified a highly inflamed atherosclerotic plaque, which led immediately to an acute myocardial infarction. Significantly, this case spotlights the vital role of perivascular inflammation mapping in CCTA, crucial for identifying high-risk plaques. The case emphasizes the necessity for a comprehensive, multifaceted diagnostic approach in the evaluation and management of CAD, incorporating advanced techniques like perivascular inflammation mapping for a more accurate and predictive assessment.
Matyas et al. (Fri,) conducted a case report in Coronary artery disease and STEMI (n=1). Cardiac computed tomography angiography (CCTA) with perivascular inflammation mapping was evaluated. CCTA with perivascular inflammation mapping successfully identified a highly inflamed, vulnerable plaque with an FAI score of 6.0 in a 49-year-old woman immediately before she developed a STEMI.