CT coronary angiography in the investigation of chest pain — Beyond coronary artery atherosclerosis; A pictorial review

Kanaganayagam, Gajen; Ngo, An; Alsafi, Ali; Kamanahalli, Raghavendra; Sutaria, Nilesh; Mittal, Tarun; Ariff, Ben

doi:10.1016/j.ijcard.2014.08.035

Cited by 11 publications

(5 citation statements)

References 104 publications

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“…The descending aortic diameter was determined at the rear of the left atrial junction and the diameter of the aorta through the diaphragm was assessed. Figure shows the heartbeat cross section by echocardiography …”

Section: Methodsmentioning

confidence: 99%

“…Figure 2 shows the heartbeat cross section by echocardiography. 25 2.3 | Statistical processing and evaluation Use SPSS version 13.0 software package to test the results of the use of good data list, P-value less than 0.05 was significant for the difference. 26,27 The 64-slice spiral CT and echocardiography results were compared with the surgical results to evaluate the clinical value of 64-slice spiral CT and echocardiography in children with congenital heart disease.…”

Section: Cardiac Ultrasonographymentioning

confidence: 99%

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Comparison of echocardiography and 64‐slice spiral computed tomography in the diagnosis of congenital heart disease in children

Mei

Nie

Yang

et al. 2018

J of Cellular Biochemistry

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The diagnosis of congenital heart disease in children has been an issue in the medical community. Timely diagnosis and treatment can provide a greater guarantee for children's healthy growth. In recent years, there have been more and more studies on the diagnosis of congenital heart disease in children. This paper compares the advantages and disadvantages of echocardiography and 64-slice spiral computed tomography (CT) in the diagnosis of congenital heart disease in children. In clinical trials, we also tested 64 patients with spiral computed tomography (SCT) and transthoracic echocardiography (TTE) detection of patients and then confirmed the accuracy of the diagnosis by the surgical methods. The two methods of detection, the rate of missed diagnosis, and the rate of misdiagnosis were counted. Through the test results and pathological diagnosis results, the diagnostic accuracy of the two methods were all above 90%, each with its own advantages and disadvantages. The sensitivity of echocardiographic in detecting intracardiac structure abnormalities was relatively high, but when the diagnosis of extracardiac structural abnormalities less than 64-slice spiral CT method, misdiagnosis of TTE was mainly due to extracardiac vascular malformations. Therefore, it is recommended to combine the two methods to improve the diagnosis of congenital heart disease in children.

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Section: Methodsmentioning

confidence: 99%

Section: Cardiac Ultrasonographymentioning

confidence: 99%

Comparison of echocardiography and 64‐slice spiral computed tomography in the diagnosis of congenital heart disease in children

Mei

Nie

Yang

et al. 2018

J of Cellular Biochemistry

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“…In fact, cardiac computed tomography angiography has been recommended as an effective screening tool to exclude obstructive lesions in lowand medium-risk individuals. 5 This case highlights the discrepancies between imaging modalities. Despite the attendant (low) risk of cardiac cathe-terization, invasive coronary angiography was necessary to confirm the diagnosis.…”

Section: Discussionmentioning

confidence: 90%

Diagnosing Left Coronary Ostial Atresia: Sometimes the Old Ways Are Best

Karayiannis¹,

McCrossan²,

Sands³

2015

Int J Angiol

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A 12-year-old boy with intermittent syncope associated with exercise. Exercise stress testing suggested myocardial ischemia and 2D echocardiography failed to confirm antegrade flow in the left main stem. Advanced imaging techniques including cardiac-gated computed tomography angiography and stress cardiac magnetic resonance imaging were falsely reassuring. Cardiac catheterization demonstrated left coronary artery ostial atresia with a good caliber left coronary system supplied by generous collaterals from the right coronary artery. The patient underwent successful coronary artery bypass grafting.

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“…It is highly likely that patients with normal ECG, cardiac markers and ECHO be dismissed with symptomatic management, while in reality they might be harboring significant coronary artery disease. CCTA is rapidly emerging as the best diagnostic and prognostic medical imaging modality for diagnosing the patient with clinical suspicion of CAD because of its high negative predictive value (5,6,7). Laggoune et al 8 have previously demonstrated that CCTA is an effectual and accurate imaging technique for the assessment of chest pain in old patients.…”

Section: Discussionmentioning

confidence: 99%

A Study to Identify the Presence of Severe Coronary Artery Disease in Patients With No Electrocardiographic, Biochemical and Echocardiographic Evidence of Cad Using Ct Coronary Angiography

Khan¹,

Bhamu²,

Yadav³

et al. 2023

PIJR

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INTRODUCTION:Acute chest pain is one of the most common reasons for seeking care in the emergency department (ED), accounting for approximately 10% of all visits. The difficulty lies in discriminating patients with ACS or other lifethreatening conditions from those with non-cardiovascular,non-life-threatening chest pain.The diagnosis ofACS is missed in approximately 2%ofpatients.But itis essential to rule out cardiovascular etiology of chestpain to avoidunnecessary cost and complications of investigations and treatment. This study aims at identifying the prevalence of significant coronary artery disease in patients with no electrocardiographic and biochemical evidence of coronary artery disease. AIM OF STUDY: To identifying the presence of severe coronary artery disease in the patients with no electrocardiographic, biochemical and echocardiographic evidence of CAD using CT Coronary Angiography. MATERIAL AND METHODS: The study was conducted on 50 patients during a period of 4 months,admitted with history of chest pain without any ECG evidence of STEMI, negative cardiac markers, no evidence of RWMA on 2D ECHO, or previous history of myocardial infarction.RESULTS: Out of the 50 patients studied, 38 (76%) were males and 12 (24%) were females.A total of 6 patients (12%) were found to have severe stenosis in major coronary arteries (stenosis > 70%) of which 4 were males (10.5%) and 2 were females (16.67%).CADRAD score≥3 was found in 9 patients (18%):6 males (15.78%) and 3 females (12%).Average age of patients who presented with chest pain with no electrocardiographic and biochemical evidence of coronary artery disease was found to be 61.7 years in males and 60.1 in females.66.7% of the female patients and 78.94% of male patients were over the age of 55 years.CONCLUSION: Furtherworkupofpatientswith chestpainwith no electrocardiographic and biochemicalevidenceofcoronaryarterydiseaseisnecessarytoavoidmissingdiagnosisofCAD

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CT coronary angiography in the investigation of chest pain — Beyond coronary artery atherosclerosis; A pictorial review

Cited by 11 publications

References 104 publications

Comparison of echocardiography and 64‐slice spiral computed tomography in the diagnosis of congenital heart disease in children

Comparison of echocardiography and 64‐slice spiral computed tomography in the diagnosis of congenital heart disease in children

Diagnosing Left Coronary Ostial Atresia: Sometimes the Old Ways Are Best

A Study to Identify the Presence of Severe Coronary Artery Disease in Patients With No Electrocardiographic, Biochemical and Echocardiographic Evidence of Cad Using Ct Coronary Angiography

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