نتایج جستجو برای: ccta
تعداد نتایج: 617 فیلتر نتایج به سال:
Coronary artery disease (CAD) is the leading cause of morbidity and mortality worldwide. Over the last decade coronary computed tomography angiography (CCTA) has gained wide acceptance as a reliable, cost-effective and non-invasive modality for diagnosis and prognostication of CAD. Use of CCTA is now expanding to characterization of plaque morphology and identification of vulnerable plaque. Add...
BACKGROUND Coronary computed tomographic angiography (cCTA) allows rapid, noninvasive exclusion of obstructive coronary artery disease (CAD). However, concern exists whether implementation of cCTA in the assessment of patients presenting to the emergency department with acute chest pain will lead to increased downstream testing and costs compared with alternative strategies. Our aim was to comp...
BACKGROUND Whether a coronary artery calcium (CAC) scan provides added value to coronary computed tomographic angiography (CCTA) in emergency department patients with acute chest pain remains unsettled. We sought to determine the value of CAC scan in patients with acute chest pain undergoing CCTA. METHODS AND RESULTS In the multicenter Rule Out Myocardial Infarction using Computer-Assisted To...
BACKGROUND The predictive value of coronary computed tomographic angiography (cCTA) in subjects without chest pain syndrome (CPS) has not been established. We investigated the prognostic value of coronary artery disease detection by cCTA and determined the incremental risk stratification benefit of cCTA findings compared with clinical risk factor scoring and coronary artery calcium scoring (CAC...
BACKGROUND Coronary CT angiography (CCTA) is an excellent tool for noninvasive assessment of coronary arteries in low- to intermediate-risk individuals. However, the accuracy of CCTA heavily depends on image quality. Our objective was to develop and validate a tool to predict pre-CCTA risk of obtaining an uninterpretable result in symptomatic patients. METHODS AND RESULTS Among 8585 symptomat...
Acute chest pain is a challenging clinical problem, commonly encountered in emergency departments. Appropriate management and treatment of acute chest pain requires a careful assessment of patients to predict the probability of acute coronary syndrome (ACS) and initiate immediate treatment. Generally low-risk patients with negative serial electrocardiograms and cardiac injury markers have to un...
Left main coronary artery (LMCA) stenosis is a high risk subset of coronary artery disease; however, its occurrence may be misjudged by coronary angiography. Coronary CT angiography (CCTA) was performed on 5 patients with clinically highly suspicious and angiographically borderline LMCA disease (ostial: 3 patients, mid: 1 patient and distal: 1 patient). A cross-sectional CCTA image was used to ...
INTRODUCTION The purpose of this study was to assess the change in theoretical probability of coronary artery disease (CAD) in patients with suspected CAD undergoing coronary CT angiography (CCTA) as first line test vs. patients who underwent CCTA after an exercise ECG. METHODS Pre- and post-test probabilities of CAD were assessed in 158 patients with suspected CAD undergoing dual-source CCTA...
AIMS Single-source, dual-energy coronary computed tomography angiography (CCTA) with monochromatic image reconstruction allows significant noise reduction. The aim of the study was to evaluate the impact of monochromatic CCTA image reconstruction on coronary stent imaging, as the latter is known to be affected by artefacts from highly attenuating strut material resulting in artificial luminal n...
How to Utilize Coronary Computed Tomography Angiography in the Treatment of Coronary Artery Disease.
Coronary computed tomography angiography (CCTA) has high negative predictive power for detecting coronary artery disease. However CCTA is limited by moderate positive predictive power in the detection of myocardial ischemia. This is not unexpected because the diameter of a stenosis is a poor indicator of myocardial ischemia and discrepancy between the severity of stenosis and noninvasive tests ...
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