Original scientific paper
Influence of coronary computed tomographyangiography on patient management
Mladen Jukić
; Department of Cardiology, Sunce Clinic, Zagreb, Croatia
Ladislav Pavić
; Department of Radiology, Sunce Clinic, Zagreb, Croatia
Jasna Čerkez Habek
; Department of Cardiology, Sunce Clinic, Zagreb, Croatia
Petar Medaković
; Department of Radiology, Sunce Clinic, Zagreb, Croatia
Diana Delić Brkljačić
; Department of Cardiology, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Boris Brkljačić
; Department of Diagnostic and Interventional Radiology, Dubrava University Hospital, Zagreb, Croatia
Abstract
Aim To evaluate how coronary computed tomographyangiography
(CCTA) altered the management and treatment
of patients with suspected coronary artery disease
(CAD).
Methods During 2009, we studied 792 consecutive patients
with suspected CAD. CCTA was performed in all patients
using a 64-slice dual-source CT scanner and standard
scanning protocols.
Results After CCTA, obstructive CAD was excluded in 666
patients. During the 12-month clinical follow-up, 98.6% of
these patients were free of major adverse cardiac events.
Also, the indication for cardiac catheterization (CC) was revoked
in 77.2% of patients. It was also revoked in all patients
with low Morise pre-test risk, 80.7% with intermediate
risk, and 72.6% with high risk. Medical therapy was
changed in 54.7% of patients with confirmed CAD.
Conclusion CCTA can reliably exclude significant CAD not
only in patients with low and moderate risk, but also in
those with high risk. It can also reliably replace CC in the
majority of elective patients regardless of risk stratification.
It can also be useful in risk reclassification and optimization
of medical therapy in patients with CAD.
Keywords
Hrčak ID:
78205
URI
Publication date:
15.2.2012.
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