Extracardiac findings on coronary computed tomography angiography in patients without significant coronary artery disease

2018 ◽  
Vol 29 (4) ◽  
pp. 1714-1723 ◽  
Author(s):  
Philipp Karius ◽  
Alexander Lembcke ◽  
Felix C. Sokolowski ◽  
Ivan Dario Perez Gandara ◽  
Alejandra Rodríguez ◽  
...  
2021 ◽  
Vol 6 (1) ◽  
pp. 37-42
Author(s):  
Roxana Hodas ◽  
Ștefania Alexandra Polexa ◽  
Manuca Rareș ◽  
Theodora Benedek

Abstract Patients with chest pain presenting to the emergency room are currently investigated using either invasive coronary angiography (ICA) or noninvasive coronary computed tomography angiography (CCTA). ICA remains an expensive diagnostic tool and exposes patients to a high risk of periprocedural complication. Besides the currently available expansive economic evidence, there is still an important lingering issue: to establish, from the healthcare provider’s point of view, which is the most cost-effective investigation tool for the detection of significant coronary artery disease. The aim of this article is to present the latest developments in the field of imaging tools for the detection of coronary atherosclerosis in patients with chest pain, from the perspective of a cost-effectiveness analysis.


Author(s):  
Po-Yi Li ◽  
Ru-Yih Chen ◽  
Fu-Zong Wu ◽  
Guang-Yuan Mar ◽  
Ming-Ting Wu ◽  
...  

The objective of this study was to determine how coronary computed tomography angiography (CCTA) can be employed to detect coronary artery disease in hospital employees, enabling early treatment and minimizing damage. All employees of our hospital were assessed using the Framingham Risk Score. Those with a 10-year risk of myocardial infarction or death of >10% were offered CCTA; the Coronary Artery Disease Reporting and Data System (CAD-RADS) score was the outcome. A total of 3923 hospital employees were included, and the number who had received CCTA was 309. Among these 309, 31 (10.0%) had a CAD-RADS score of 3–5, with 10 of the 31 (32.3%) requiring further cardiac catheterization; 161 (52.1%) had a score of 1–2; and 117 (37.9%) had a score of 0. In the multivariate logistic regression, only age of ≥ 55 years (p < 0.05), hypertension (p < 0.05), and hyperlipidemia (p < 0.05) were discovered to be significant risk factors for a CAD-RADS score of 3–5. Thus, regular and adequate control of chronic diseases is critical for patients, and more studies are required to be confirmed if there are more significant risk factors.


Author(s):  
Lara Luiza Silvello Pereira ◽  
Gisele Marochi de Moraes ◽  
Adriano Camargo de Castro Carneiro ◽  
Valéria de Melo Moreira ◽  
Juliana Hiromi Silva Matsumoto Bello ◽  
...  

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