Role of multi-slice CT coronary angiography in evaluating the different patterns of coronary artery disease in patients with unstable angina

Niazi, Gamal; Elia, Remon Zaher

doi:10.1016/j.ejrnm.2015.03.013

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…These findings corroborated those of Koulaouzidis et al(2012) (10), who found that among the 43 unstable angina patients included in their study, 17 had normal CTCA, 22 had non-significant lesions, and only 4 had severe obstructive lesions. One patient (10%) in our study had nonsignificant CAD, and one patient (10%) had substantial CAD out of the 10 patients with CACS=zero.…”

Section: Discussionsupporting

confidence: 91%

Role of Multi-slice CT Coronary Angiography and Coronary Arteries Calcium Score in Evaluating Patients with Anginal Pain.

Bashir

2023

Aswan University Medical Journal

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Background: One of the most prevalent complaints is chest pain; it may be cardiac or not. The most common cause is coronary atherosclerosis. purpose: Assess the coronary artery disease in angina patients with CT coronary angiography (CTA), a noninvasive technique. Subjects and methods: This study was conducted on 25 patients with angia chest pain. They underwent CT coronary angiography and Ca score estimation. Result: Among 25 patients complaining of recent-onset chest pain, 11 patients (44%) had normal CTCA, 8 patients (32%) had non-significant CAD, and 6 patients (24%) had significant CAD. In our study of 28 vessels, the most common affected vessel was the LAD artery, which was affected in 52% (13/28) of affected arteries, compared to the RCA, which was affected in 28% (7/28), the LCx, which was affected in 24% (6/28), and the LM, which was affected in only 8% (2/28) of the affected arteries. Conclusion: Coronary CT scans can be utilized as a non-invasive technique in the evaluation of patients with unstable angina as they can identify coronary artery disease (CAD), assess the level of blockage, and count the number of affected arteries.

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Section: Discussionsupporting

confidence: 91%

Role of Multi-slice CT Coronary Angiography and Coronary Arteries Calcium Score in Evaluating Patients with Anginal Pain.

Bashir

2023

Aswan University Medical Journal

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“…Female patients show slightly higher level of CAC (average is 217.17 in females and 200.89 in males, P value > 0.05). This differs from Niazi et al, (17) who found that male patients show higher level of CAC (469.3) compared to female patients (232.3) with P value< 0.05. In 2010, Chu et al, (18) found that men had more calcified plaques.…”

Section: Discussioncontrasting

confidence: 87%

“…This is close to Madhok et al, (26) who detected 187 plaques affecting all coronary arteries, 60 plaques (32.1 %) were detected in the LAD, 40 plaques (21.4 %) were affecting the LCX, 44 plaques (23.5 %) were seen in the RCA and 29 plaques (15.5 %) were detected in the small branches. This slightly differs from Niazi et al, (17) who detected 60 plaques affecting all coronary arteries, 24 plaques (40 %) were detected in the LAD, nine plaques (15 %) were affecting the LCX, 18 plaques (30 %) were seen in the RCA and seven plaques (11.6 %) were detected in the small branches. Among these 70 detected plaques, 29 of them (41.4 %) were significant and 41 plaques (58.6 %) were non-significant, This is close to Chu et al, (18) who detected 480 plaques, 238 of them (49.6 %) were significant and 242 plaques (50.4 %) were non-significant.…”

Section: Discussioncontrasting

confidence: 75%

Role of Computed Tomography Coronary Angiography Imaging in Assessment of Unstable Angina

Saleh¹,

diagnosis²

2018

jmscr

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We sought to evaluate the role of non-invasive Multidetector computed tomography angiography (CTA) in the assessment of the causes of unstable angina. Background: Detection of coronary artery disease (CAD) using invasive coronary angiography needs extended time, contrast load, and high radiation exposure. Methods: 160 slices CTA was performed in 50 patients (38 men, mean age 55.48 ± 10.88years) symptomatic patients diagnosed as unstable angina. In this study, the mean coronary artery calcium score (CACS) was 204. Statistically higher CAC was found in patients ≥ 60 years old than those < 60 years. Female patients, hypertensives and diabetic patients show slightly higher (but not significant) level of CAC. Among 50 patients complaining of unstable angina we found 11 patients having normal CTA, four having dense coronary calcification, 21 having non-significant obstructive lesions, and 14 patients having significant CAD. We found significant relation between calcium score and the significance of CAD. We detected 70 plaques (29 of them caused significant stenosis) distributed in all coronary arteries. The most commonly affected artery was the LAD, followed by LCX then RCA and the small branches had only 14 plaques. According to the type of plaques, 45 plaques were mixed, five plaques were calcified and the last 20 were soft plaques. We found no significant difference in the significance of stenosis was detected in relation to the number of vessels affected. Patients were classified into Low, Intermediate, and High probability of CAD. We found significant relation between the pre-test probability and the significance of CAD. Conclusions: Multi-detector CTA allows accurate non-invasive assessment of patients presented with unstable angina.

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“…When it came to arteries, the LAD artery was the most commonly impacted, accounting for 41.5% (29/70) of all affected arteries; the RCA, on the other hand, was only afflicted in 2.8% (2/70), 17% (12/70), and LM, in just 17% (20/70). Comparable to our findings, earlier research revealed that the LAD artery was the most often afflicted coronary vessel (35.9%), followed by the RCA (27.2%), the LCX (22.6%), and the LM (14.3%) (16,17).…”

Section: Discussionsupporting

confidence: 73%

Role Of Multislice Computed Tomography in Assessment of Coronary Atherosclerosis

2023

jjoas-n

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Background: Multislice computed tomographic angiography (MCTA) has been increasingly used to detect and diagnose coronary artery atherosclerosis (CAD) because of its small size and tortuous continuous courses intimately related to the cardiac chambers. Objective: This work aimed to evaluate the accuracy of MCTA in assessing coronary artery Atherosclerosis. Patients and Methods: 50 patients attending our university hospitals with chest pain or suspected coronary artery disease were scheduled for an elective evaluation of coronary artery atherosclerosis. The coronary atherosclerosis was evaluated using MCTA, and the coronary artery calcium score (CACS) was analyzed and quantified. Results: Out of 50 patients (35 males & 15 females, with a mean age of 56 years) who reported chest pain that started recently, 15 patients (30%) had normal CTCA, 15 patients (30%), nonsignificant CAD, and 4 (8%) patients, had dense coronary calcification (CAD). Also, 15 (30%) patients had CACS=0, 3 (20%) of them with non-significant CAD, and 12 patients (80%) had normal CTCA. Among ten patients with CACS=1-99, 3 (30%) had significant CAD. Among 20 patients with CACS=100-399, 12 (60%) patients had significant CAD and one patient was seen with CACS=400-999 and had substantial CAD. Plaques were detected in 70 coronary vessels, out of which the LAD artery was the most commonly impaired at 29/70 (41.4%), followed by the RCA at 28.5% (20/70), the LCx at 17% (12/70), and the LM at 2/70 (2.8%). Conclusion: Multislice CT is a helpful, noninvasive method for evaluating coronary artery atherosclerosis.

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Role of multi-slice CT coronary angiography in evaluating the different patterns of coronary artery disease in patients with unstable angina

Cited by 5 publications

References 13 publications

Role of Multi-slice CT Coronary Angiography and Coronary Arteries Calcium Score in Evaluating Patients with Anginal Pain.

Role of Multi-slice CT Coronary Angiography and Coronary Arteries Calcium Score in Evaluating Patients with Anginal Pain.

Role of Computed Tomography Coronary Angiography Imaging in Assessment of Unstable Angina

Role Of Multislice Computed Tomography in Assessment of Coronary Atherosclerosis

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