IMPORTANCE OF MULTISLICE COMPUTED TOMOGRAPHY FOR THE DIAGNOSIS OF SILENT ISCHEMIA AND MYOCARDIAL INFARCTION: TWO CASE REPORTS

Multislice computed tomography (msct) is an important tool for the noninvasive evaluation, intervention and cure of coronary disease. we have presented here the assessment of a coronary artery disease in a 85 years old man and another 59 years old man, using a msct. first patient was admitted to the cardiology department with exercise dispnea, and palpitation from time to time spending for about last one month. his ecg and exercise ecg were normal (figure 1). to the patient who is a medical doctor denying directly coronary angiography (ca), so cmst technique was performed (figure 2); severe coronary artery stenosis (%95) at middle segment of lad was detected. single coronary artery lesion (lad) was detected by ca. (figure 3). percutaneous coronary intervention was performed for lad lesion and drug-eluting stent was implanted after balloon predilatation (figure 4,5). the patient was examineted routinely and in the three mounthly periods time. he was asymptomatic at the end of the 4 years of the procedure. second patient was admitted with trivial sore throat together with minimal diaphoresis during rest and with elevated cardiac enzymes. his ecg (figure 6) was normal. in the msct-fig.7, completely total occlusion in the cx, critical stenosis of lad arteries. his invasive ca was completely parallel to the msct (figu8). drug-eluting stents were implanted these two lesions in the same prosedure. this patient also was asymptomatic at the end of the 3 years of the procedure. we conclude that, msct is very important divice for silent ischemia and asymthomatic acute myocardial infarction.