Evidence map›Paper›PMID 40409860›Full record

ArticleJACC. Case reports2025

Acute Left Anterior Descending Occlusion Myocardial Infarction Incidentally Found on Surveillance Computed Tomography.

James F Howick V, Jack Korleski, Michael D Brandt, Jenna Bilodeau-Gandre, Ufuk Vardar, Lara A Walkoff, Nandan Anavekar

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

James F Howick VDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Florida, USA. Electronic address: Howick.James@mayo.edu.
Jack KorleskiDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Michael D BrandtDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Jenna Bilodeau-GandreDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Florida, USA.
Ufuk VardarDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Florida, USA.
Lara A WalkoffDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Nandan AnavekarDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advances in computed tomography (CT) scanner technology and faster image acquisition have enabled improved visualization of cardiac structures, even on routine noncardiac chest CT scans. Recognition of incidental cardiac findings is crucial as they may signal underlying pathology. A 60-year-old woman with metastatic gastroesophageal junction cancer underwent outpatient surveillance CT which revealed decreased density of the left ventricular myocardium at the mid and apical anterior walls and septum, concerning for myocardial ischemia or infarction. Although asymptomatic and without cardiac history, she had markedly elevated troponin levels and was found to have an acute occlusion in the mid-left anterior descending artery, successfully treated with percutaneous coronary intervention. This case highlights the value of recognizing incidental myocardial hypoperfusion on noncardiovascular CT imaging. The literature describes hypoattenuation as a marker of acute myocardial infarction, but its detection in asymptomatic patients raises diagnostic and management challenges.

Indexed as

acute coronary syndromeimaging artifactsincidental cardiac findingsmyocardial hypoperfusionmyocardial ischemianon-electrocardiogram-gated computed tomography imaging

Identifiers

PMID40409860
PMCPMC12243035

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.