Cardiac computed tomography and its importance in cardiology K

Czech version

Authors: R. Petr; H. Línková
Authors‘ workplace: Přednosta: prof. MUDr. Petr Widimský, DrSc., FESC ; 3. lékařská fakulta a Fakultní nemocnice Královské Vinohrady ; III. interní kardiologická klinika ; Univerzita Karlova v Praze
Published in: Prakt. Lék. 2013; 93(2): 44-48
Category: Reviews

Overview

Cardiac computed tomography (CT) has a broad spectrum of indications not only in the diagnostic process of cardiovascular disease but also in guiding before invasive procedures. Currently, cardiac CT can be used in evaluation of coronary artery disease, mainly in patients with low or moderate cardiovascular risk, in patients after percutaneous coronary intervention for stent evaluation, and also in patients after CABG for patency of grafts evaluation. CT also has an important role in identifying coronary anomalies. Anatomy of the heart can be used in invasive procedures, particularly before TAVI, in electroanatomical mapping before pulmonary vein isolation. The key role of CT is for diagnostic process of pulmonary embolism and aortal dissections and acute aortic syndromes.

Keywords:
CT – ischaemic heart disease – coronary anomalies – TAVI – pulmonary vein isolation

Sources

1. Achenbach S, Ropers D, Pohle FK, et al. Detection of coronary artery stenoses using multi-detector CT with 16 × 0.75 collimation and 375 ms rotation. Eur Heart J 2005; 26(19): 1978–1986.

2. Budoff MJ, Dowe D, Jollis JG, et al. Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol 2008; 52: 1724–1732.

3. Miller JM, Rochitte CE, Dewey M, et al. Diagnostic performance of coronary angiography by 64-row CT. N Engl J Med 2008; 359: 2324–2336.

4. Petcherski O, Gaspar T, Halon DA, et al. Diagnostic accuracy of 256-row computed tomographic angiography for detection of obstructive coronary artery disease using invasive quantitative coronary angiography as reference standard. Am J Cardiol 2012 [Epub ahead of print]. doi: 10.1016/j.amjcard.2012.

5. Taylor AJ, Cerqueira M, Hodgson JM, et al. ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 appropriate use criteria for cardiac computed tomography. A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance. J Am Coll Cardiol 2010; 56(22): 1864–1894.

6. Agatston AS, Janowitz WR, Hildner FJ, et al. Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol 1990; 15(4): 827–832.

7. Rubinshtein R, Gaspar T, Halon DA, et al. Prevalence and extent of obstructive coronary artery disease in patients with zero or low calcium score undergoing 64-slice cardiac multidetector computed tomography for evaluation of a chest pain syndrome. Am J Cardiol 2007; 99(4): 472–475.

8. Qin J, Liu LY, Fang Y, et al. 320-detector CT coronary angiography with prospective and retrospective electrocardiogram gating in a single heartbeat: comparison of image quality and radiation dose. Br J Radiol 2012; 85(1015): 945–951.

9. Dewey M, Teige F, Laule M, et al. Influence of heart rate on diagnostic accuracy and image quality of 16-slice CT coronary angiography: comparison of multisegment and halfscan reconstruction approaches. Eur Radiol 2007; 17(11): 2829–2837.

10. van Velzen JE, Schuijf JD, de Graaf FR, et al. Diagnostic performance of non-invasive multidetector computed tomography coronary angiography to detect coronary artery disease using different endpoints: detection of significant stenosis vs. detection of atherosclerosis. Eur Heart J 2011; 32(5): 637–645.

11. van Velzen JE, de Graaf FR, Jukema JW, et al. Comparison of the relation between the calcium score and plaque characteristics in patients with acute coronary syndrome versus patients with stable coronary artery disease, assessed by computed tomography angiography and virtual histology intravascular ultrasound. Am J Cardiol 2011; 108(5): 658–664.

12. Winchester DE, Wymer DC, Shifrin RY. Responsible use of computed tomography in the evaluation of coronary artery disease and chest pain. Mayo Clin Proc 2010; 85(4): 358–364.

13. Achenbach S, Raggi P. Imaging of coronary atherosclerosis by computed tomography. Eur Heart J 2010; 31(12): 1442–1448.

14. de Graaf FR, Schuijf JD, van Velzen JE, et al. Diagnostic accuracy of 320-row multidetector computed tomography coronary angiography to noninvasively assess in-stent restenosis. Invest Radiol, 2010; 45(6): 331–340.

15. Weustink AC, Nieman K, Pugliese F, et al. Diagnostic accuracy of computed tomography angiography in patients after bypass grafting: comparison with invasive coronary angiography. JACC Cardiovasc Imaging 2009; 2(7): 816–824.

16. Pontone G, Andreini D, Bartorelli AL, et al. Feasibility and accuracy of a comprehensive multidetector computed tomography acquisition for patients referred for balloon-expandable transcatheter aortic valve implantation. Am Heart J 2011; 61(6): 1106–1113.

17. Leipsic J, Gurvitch R, Labounty TM, et al. Multidetector computed tomography in transcatheter aortic valve implantation. JACC Cardiovasc Imaging 2011; 4(4): 416–429.

18. Piorkowski C, Kircher S, Arya A, et al. Computed tomography model-based treatment of atrial fibrillation and atrial macro-re-entrant tachycardia. Europace 2008, 10(8): 939–948.

19. Heydari B, Jerosch-Herold M, Kwong RY. Imaging for planning of cardiac resynchronization therapy. JACC Cardiovasc Imaging 2012; 5(1): 93–110.

20. Tresoldi S, Mezzanzanica M, Campari A, et al. The role of computed tomography coronary angiography in the management of coronary anomalies. J Card Surg 2012; 13: 1–4.

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Article was published in

General Practitioner

2013 Issue 2