Table 3.
Clinical scenario | Imaging modalities |
||||
---|---|---|---|---|---|
TTE | CT | CMR | ICA | ||
Suspected ACS | STE | + | - | - | ++ |
non-STE | ++ | ++*/⁎⁎ | - | + | |
Suspected myocarditis | ++ | +⁎⁎ | ++ | - | |
Suspected pericarditis | ++ | + | + | - | |
Suspected decompensated chronic heart failure | ++ | - | - | - | |
Suspected PE | + | ++⁎⁎⁎ | - | - | |
Suspected TTS | ++ | +* | ++ | + |
ACS, acute coronary syndrome; CMR, cardiac magnetic resonance; CT, computed tomography; ICA, invasive coronary angiography; PE, pulmonary embolism; STE, ST-segment elevation; TTE, transthoracic echocardiography; TTS, takotsubo syndrome.
ACS, acute coronary syndrome; PE, pulmonary embolism; STE, ST-segment elevation; TTE, transthoracic echocardiography; TTS, takotsubo syndrome.
Modified from Cosyns B et al. Eur Heart J Cardiovasc Imaging 2020;21:709-714.
CCTA should be performed to rule in/out coronary artery disease and schedule subsequent invasive coronary angiography;
CT with late iodine enhancement may be useful to detect areas of myocardial fibrosis;
CTPA is the gold standard for the assessment of pulmonary artery thrombi.