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Overview of complications of acute and chronic myocardial infarctions: revisiting pathogenesis and cross-sectional imaging
  1. Nicholas R Stephens,
  2. Carlos S Restrepo,
  3. Sachin S Saboo,
  4. Ameya J Baxi
  1. Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
  1. Correspondence to Dr Nicholas R Stephens, Radiology, University of Texas Health Science Center at San Antonio, San Antonio, TX 78284, USA; stephensnr{at}


Myocardial infarction (MI) remains one of the leading contributors to overall mortality and morbidity in the modern world, even with recent advances in medicine. Various complications can arise following an MI, particularly with delayed or inadequate treatment. Even though many of these complications are uncommon, they can have a significant impact on patient outcomes. Some of these complications can be diagnosed based on clinical, laboratory and echocardiographic evaluation. Other times, however, cardiac MR and multidetector CT are necessary in their diagnosis and proper evaluation. Accurate detection of these complications is an important aspect of optimising prompt and effective patient care, leading to better clinical outcomes. It is the goal of this article to review the role of cross-sectional imaging in patients with post-MI as well as the characteristic imaging findings and differential diagnosis of common and uncommon complications of MI.

  • diagnostic radiology
  • myocardial infarction
  • computed tomography
  • magnetic resonance imaging
  • cardiovascular imaging

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  • Contributors Conception and design of the work: AJB. Data collection: CSR, SSS, AJB. Data analysis and interpretation: NRS, CSR, SSS, AJB. Drafting of the manuscript: NRS. Critical revision of the article: CSR, SSS, AJB. Final approval of the version to be published: NRS, CSR, SSS, AJB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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