Noninvasive coronary imaging is often considered the Holy Grail among cardiologists and radiologists interested in the diagnosis and treatment of coronary atherosclerosis.1–3 That noninvasive coronary imaging would aid in establishing new prevention and treatment strategies in a wide range of clinical scenarios, ranging from early subclinical diagnosis of atherosclerosis in asymptomatic individ...

spontaneous coronary artery dissection (scad) is a rare condition that can result in unstable angina, acute myocardial infarction, and sudden death. this condition may occur particularly in women during late pregnancy and in the postpartum period. we present the case of a 33-year-old african american woman, who had spontaneous left anterior descending coronary artery (lad) dissection two weeks ...

cardiovascular disease remains the principal cause of death in the modernized world.   several novel noninvasive imaging techniques have been recently developed to improve diagnosis of cardiac and coronary disease.   of these advances, multidetector computed tomographic (mdct) angiography has evolved most dramatically to transform computed tomography from a single-slice trans-axial modality to ...

background: investigators frequently encounter continuous outcomes with plenty of values clumped at zero called semi-continuous outcomes. the gensini score, one of the most widely used scoring systems for expressing coronary angiographic results, is of this type. the aim of this study was to apply two statistical approaches based on the categorization and original scale of the gensini score to ...

iatrogenic coronary artery dissection during coronary angiography with or without rupture is a rare but feared complication . we herein report a case of iatrogenic left main coronary artery dissection in a 49-year-old female. admitted to our hospital with a recent history of severe hypotension, she develpled apnea during angiography. she was intubated  and resuscitated with an epinephrine infus...

Correspondence to: Pim J de Feyter, MD, PhD, Erasmus Medical Center, Department of Cardiology and Radiology, Thoraxcenter Bd 410, PO Box 2040, 3000 CA Rotterdam, The Netherlands; [email protected] _________________________ M ultislice spiral computed tomography (MSCT) coronary angiography is a promising noninvasive technique for the detection of coronary stenoses. The advent of the tech...

BACKGROUND Reduction of radiation burden of multidetector computed tomography coronary angiography (CTCA) has remained an important task. OBJECTIVE To compare effective radiation dose of low-dose 64-slice CTCA using prospective ECG-triggering versus diagnostic invasive coronary angiography (CA). METHODS 42 patients referred for elective invasive CA owing to suspected coronary artery disease...

background: diagnosis of coronary artery disease (cad) in patients with left bundle branch block (lbbb) is considered as a challenge in cardiology due to the low accuracy of noninvasive methods such as basal and stress electrocardiography (ecg). this diagnostic challenge can be reduced but not eliminated using dipyridamole as a stress method instead of exercise. the aim of this study was to ass...