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Italian Chapter of the International Society of Cardiovascular Ultrasound expert consensus document on coronary computed tomography angiography: overview and new insights
- Source :
- Echocardiography. 33:1413-1418
- Publication Year :
- 2016
- Publisher :
- Wiley, 2016.
-
Abstract
- Coronary computed tomography angiography is a noninvasive heart imaging test currently undergoing rapid development and advancement. The high resolution of the three-dimensional pictures of the moving heart and great vessels is performed during a coronary computed tomography to identify coronary artery disease and classify patient risk for atherosclerotic cardiovascular disease. The technique provides useful information about the coronary tree and atherosclerotic plaques beyond simple luminal narrowing and plaque type defined by calcium content. This application will improve image-guided prevention, medical therapy, and coronary interventions. The ability to interpret coronary computed tomography images is of utmost importance as we develop personalized medical care to enable therapeutic interventions stratified on the bases of plaque characteristics. This overview provides available data and expert's recommendations in the utilization of coronary computed tomography findings. We focus on the use of coronary computed tomography to detect coronary artery disease and stratify patients at risk, illustrating the implications of this test on patient management. We describe its diagnostic power in identifying patients at higher risk to develop acute coronary syndrome and its prognostic significance. Finally, we highlight the features of the vulnerable plaques imaged by coronary computed tomography angiography.
- Subjects :
- medicine.medical_specialty
Acute coronary syndrome
Computed Tomography Angiography
Cardiology
adverse cardiac events
atherosclerosis
coronary artery disease
coronary computed tomography
high-risk plaque
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary Angiography
Sensitivity and Specificity
nuclear medicine and imaging
Coronary artery disease
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Humans
Radiology, Nuclear Medicine and imaging
030212 general & internal medicine
Computed tomography angiography
Evidence-Based Medicine
medicine.diagnostic_test
business.industry
Ultrasound
Coronary computed tomography angiography
Reproducibility of Results
Evidence-based medicine
medicine.disease
Coronary computed tomography
radiology
cardiology and cardiovascular medicine
Italy
Great vessels
Practice Guidelines as Topic
Radiology
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 07422822
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- Echocardiography
- Accession number :
- edsair.doi.dedup.....98014aef6506590159cf6001609a12f8