Coronary calcium score and computed tomography coronary angiography in high-risk asymptomatic subjects: assessment of diagnostic accuracy and prevalence of non-obstructive coronary artery disease

2009 ◽  
Vol 20 (4) ◽  
pp. 846-854 ◽  
Author(s):  
Filippo Cademartiri ◽  
Erica Maffei ◽  
Alessandro Palumbo ◽  
Sara Seitun ◽  
Chiara Martini ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
High Risk ◽  
Coronary Angiography ◽  
Diagnostic Accuracy ◽  
Obstructive Coronary Artery Disease ◽  
Calcium Score ◽  
Artery Disease ◽  
Asymptomatic Subjects

Preoperative evaluation: non-invasive testing

ESC CardioMed ◽  
2018 ◽  
pp. 2646-2650
Author(s):  
Juhani Knuuti ◽  
Antti Saraste
Keyword(s):  
Computed Tomography ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
High Risk ◽  
Myocardial Ischaemia ◽  
Computed Tomography Angiography ◽  
Perioperative Management ◽  
Obstructive Coronary Artery Disease ◽  
Non Invasive ◽  
Artery Disease

Preoperative non-invasive testing aims to provide informed choices about the appropriateness of surgery, guide perioperative management, and assess the long-term risk of a cardiac event through identification of left ventricular dysfunction, heart valve abnormalities, and myocardial ischaemia. Preoperative non-invasive testing is not recommended routinely, but it should be considered in patients in whom initial clinical evaluation indicates increased risk for perioperative cardiac complications and who are scheduled for intermediate- or high-risk surgery. Pharmacological stress testing combined with myocardial perfusion imaging or echocardiography is more suitable than physical exercise for the detection of myocardial ischaemia in patients with limited exercise tolerance that is common in the preoperative setting. Alternatively, non-invasive coronary computed tomography angiography can identify obstructive coronary artery disease. A negative stress testing with imaging or the absence of high-risk coronary anatomy on computed tomography angiography is associated with a low incidence of perioperative cardiac events, but the positive predictive value is relatively low, that is, the risk is relatively low despite a positive result. In patients with extensive stress-induced ischaemia or extensive obstructive coronary artery disease detected by non-invasive testing, individualized perioperative management is recommended considering the potential benefit of the proposed surgical procedure, weighed against the predicted risk of adverse outcome.

scholarly journals Diagnostic accuracy of coronary angiography using 64-slice computed tomography in coronary artery disease

2015 ◽  
Vol 36 (10) ◽  
pp. 1156-1162 ◽  
Author(s):  
Fu-Bin Yang ◽  
Wan-Liang Guo ◽  
Mao Sheng ◽  
Ling Sun ◽  
Yue-Yue Ding ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Diagnostic Accuracy ◽  
Artery Disease
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