Role of Coronary CT Angiography in the Evaluation of Acute Chest Pain and Suspected or Confirmed Acute Coronary Syndrome

Advances in CT technology have resulted in improved imaging of the coronary anatomy in patients with stable coronary artery disease, using coronary CT angiography (CCTA). Recent data suggest that CCTA may play a role in higher risk patients, such as those evaluated in the emergency room with acute c...

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Main Authors: Tasveer Khawaja, Scott Janus, Sadeer G Al-Kindi
Format: Article
Language:English
Published: Radcliffe Medical Media 2022-04-01
Series:US Cardiology Review
Online Access:https://www.uscjournal.com/articleindex/usc.2021.30
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author Tasveer Khawaja
Scott Janus
Sadeer G Al-Kindi
author_facet Tasveer Khawaja
Scott Janus
Sadeer G Al-Kindi
author_sort Tasveer Khawaja
collection DOAJ
description Advances in CT technology have resulted in improved imaging of the coronary anatomy in patients with stable coronary artery disease, using coronary CT angiography (CCTA). Recent data suggest that CCTA may play a role in higher risk patients, such as those evaluated in the emergency room with acute chest pain. Data thus far support the use of CCTA in low-risk patients with acute chest pain. Recent literature suggests that CCTA may play a role in the risk stratification of selected intermediate-risk patients. In this review, the authors discuss the emerging role of CCTA in higher risk patients, such as those with suspected or confirmed acute coronary syndrome (ACS). The excellent accuracy of CCTA in detecting obstructive coronary artery disease in patients with ACS is detailed, along with a highlighting of the safety of using CCTA in this setting. The authors also discuss the role for CCTA atheromatous plaque characterization, which is being increasingly recognized as an important predictor of clinical outcomes.
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spelling doaj-art-2d3d2c0799b64f219bf9b0ff2f7ab6192024-12-14T16:03:36ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2022-04-011610.15420/usc.2021.30Role of Coronary CT Angiography in the Evaluation of Acute Chest Pain and Suspected or Confirmed Acute Coronary SyndromeTasveer Khawaja0Scott Janus1Sadeer G Al-Kindi2Department of Medicine, Harrington Heart & Vascular Institute, University Hospitals, Cleveland, OHDepartment of Medicine, Harrington Heart & Vascular Institute, University Hospitals, Cleveland, OHDepartment of Medicine, Harrington Heart & Vascular Institute, University Hospitals, Cleveland, OHAdvances in CT technology have resulted in improved imaging of the coronary anatomy in patients with stable coronary artery disease, using coronary CT angiography (CCTA). Recent data suggest that CCTA may play a role in higher risk patients, such as those evaluated in the emergency room with acute chest pain. Data thus far support the use of CCTA in low-risk patients with acute chest pain. Recent literature suggests that CCTA may play a role in the risk stratification of selected intermediate-risk patients. In this review, the authors discuss the emerging role of CCTA in higher risk patients, such as those with suspected or confirmed acute coronary syndrome (ACS). The excellent accuracy of CCTA in detecting obstructive coronary artery disease in patients with ACS is detailed, along with a highlighting of the safety of using CCTA in this setting. The authors also discuss the role for CCTA atheromatous plaque characterization, which is being increasingly recognized as an important predictor of clinical outcomes.https://www.uscjournal.com/articleindex/usc.2021.30
spellingShingle Tasveer Khawaja
Scott Janus
Sadeer G Al-Kindi
Role of Coronary CT Angiography in the Evaluation of Acute Chest Pain and Suspected or Confirmed Acute Coronary Syndrome
US Cardiology Review
title Role of Coronary CT Angiography in the Evaluation of Acute Chest Pain and Suspected or Confirmed Acute Coronary Syndrome
title_full Role of Coronary CT Angiography in the Evaluation of Acute Chest Pain and Suspected or Confirmed Acute Coronary Syndrome
title_fullStr Role of Coronary CT Angiography in the Evaluation of Acute Chest Pain and Suspected or Confirmed Acute Coronary Syndrome
title_full_unstemmed Role of Coronary CT Angiography in the Evaluation of Acute Chest Pain and Suspected or Confirmed Acute Coronary Syndrome
title_short Role of Coronary CT Angiography in the Evaluation of Acute Chest Pain and Suspected or Confirmed Acute Coronary Syndrome
title_sort role of coronary ct angiography in the evaluation of acute chest pain and suspected or confirmed acute coronary syndrome
url https://www.uscjournal.com/articleindex/usc.2021.30
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