The role of Coronary CT angiography in patients with stable angina, in the rutine clinical practice
Drobni Zsófia Dóra, Kolossváry Márton, Szilveszter Bálint, Merkely Béla, Maurovich-Horvat Pál
MTA-SE Lendület Kardiovaszkuláris Képalkotó Kutatócsoport,Semmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Budapest
Cardiovascular diseases are the leading cause of mortality and morbidity worldwide. Coronary CT angiography (coronary CTA) is a robust non-invasive diagnostic tool in the work up of patients with stable angina. With its high negative predictive value, coronary CTA is and excellent tool to rule out the presence of coronary artery disease in patients with low to intermediate risk.
Ca-score can be assesed on ECG-gated native cardiac scans and it provides an excellent independent tool for prognostication. The coronary lumen and wall can be visualized by coronary CTA, which allows for plaque characterization and quantification.
Coronary CTA has an important role to guide management strategies of patients with chest pain. The European and American guidelines give slightly different recommendations for the use of coronary calcium score and coronary CTA in patients with chest pain. The number of coronary CTA exams will increase during the upcoming years, and this imaging modality will play an imprtant role as a gatekeeper of catheterisation in individuals with suspected coronary artery disease.