scholarly journals Impact of coronary plaque geometry on plaque vulnerability and its association with the risk of future cardiovascular events in patients with chest pain undergoing coronary computed tomographic angiography—the GEOMETRY study

Medicine ◽  
2018 ◽  
Vol 97 (49) ◽  
pp. e13498
Author(s):  
Mihaela Ratiu ◽  
Monica Chitu ◽  
Imre Benedek ◽  
Theodora Benedek ◽  
Istvan Kovacs ◽  
...  
Keyword(s):  
Chest Pain ◽  
Cardiovascular Events ◽  
Coronary Plaque ◽  
Computed Tomographic Angiography ◽  
Plaque Vulnerability ◽  
Coronary Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
Tomographic Angiography

scholarly journals Use of Coronary Computed Tomographic Angiography Findings to Modify Statin and Aspirin Prescription in Patients With Acute Chest Pain

2016 ◽  
Vol 117 (3) ◽  
pp. 319-324 ◽  
Author(s):  
Amit Pursnani ◽  
Csilla Celeng ◽  
Christopher L. Schlett ◽  
Thomas Mayrhofer ◽  
Pearl Zakroysky ◽  
...  
Keyword(s):  
Chest Pain ◽  
Acute Chest Pain ◽  
Computed Tomographic Angiography ◽  
Coronary Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
Tomographic Angiography

scholarly journals The CT-STAT (Coronary Computed Tomographic Angiography for Systematic Triage of Acute Chest Pain Patients to Treatment) Trial

2011 ◽  
Vol 58 (14) ◽  
pp. 1414-1422 ◽  
Author(s):  
James A. Goldstein ◽  
Kavitha M. Chinnaiyan ◽  
Aiden Abidov ◽  
Stephan Achenbach ◽  
Daniel S. Berman ◽  
...  
Keyword(s):  
Chest Pain ◽  
Acute Chest Pain ◽  
Computed Tomographic Angiography ◽  
Treatment Trial ◽  
Coronary Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
Tomographic Angiography ◽  
Pain Patients

scholarly journals Takotsubo Cardiomyopathy in a 22-Year-Old Single-Ventricle Patient

2016 ◽  
Vol 43 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Gwendolyn Rose Derk ◽  
Jamil Aboulhosn ◽  
Leigh C. Reardon
Keyword(s):  
Chest Pain ◽  
Takotsubo Cardiomyopathy ◽  
Single Ventricle ◽  
Computed Tomographic Angiography ◽  
Coronary Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
History Of ◽  
Tomographic Angiography ◽  
Invasive Evaluation ◽  
Rule Out

We report a highly unusual case of a 22-year-old woman with single-ventricle anatomy and a history of Fontan palliation who developed takotsubo cardiomyopathy. To our knowledge, takotsubo cardiomyopathy has not previously been described in a patient with single-ventricle anatomy, or more generally in any patient with congenital heart disease. The patient presented at our clinic for urgent examination after a 2-day history of chest pain that had begun upon the death of her dog. Invasive evaluation was refused by the patient; instead, she underwent electrocardiogram-gated coronary computed tomographic angiography, to rule out obstructive coronary disease. A physician who suspects takotsubo cardiomyopathy in a patient should look for new-onset chest pain and dyspnea coupled with these features: immediate onset of segmental akinesia in the midventricular or apical aspects of the heart, elevation of brain natriuretic peptide level 12 to 24 hours after onset of akinesia, elevation of troponin level 24 to 48 hours after onset, and disappearance of the segmental akinesia a few days after onset.

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