HomeClinicalChest pain at deep inspiration

Chest pain at deep inspiration

Author: Jean-François Paul, MD, Plessis-Robinson, France
Body Region: Cardiovascular

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References

1. Patient presentation

  • A 39-year-old man without cardiovascular risk factors presented with chest pain that
    exacerbated at deep inspiration.

  • Electrocardiography showed a diffuse PQ depression in the anterior and lateral leads,
    suggesting pericarditis.

  • Laboratory tests indicated a slight elevation of troponins.
  • Coronary CT angiography indicated normal coronary arteries.
  • A low kilovoltage, delayed-phase CT acquisition, 5 minutes after a first-pass examination, was
    performed for further evaluation.