The emerging roles of coronary computed tomographic angiography: Acute chest pain evaluation and screening for asymptomatic individuals
Journal
Acta Cardiologica Sinica
Journal Volume
32
Journal Issue
2
Pages
167-173
Date Issued
2016
Author(s)
Abstract
Coronary computed tomographic angiography (CCTA) has been widely available since 2004. After that, the diagnostic accuracy of CCTA has been extensively validated with invasive coronary angiography for detection of coronary arterial stenosis. In this paper, we reviewed the updated evidence of the role of CCTA in both scenarios including acute chest pain and screening in asymptomatic adults. Several large-scale studies have been conducted to evaluate the diagnostic value of CCTA in the context of acute chest pain patients. CCTA could play a role in delivering more efficient care. For risk stratification of asymptomatic patients using CCTA, latest studies have revealed incremental benefits. Future studies evaluating the totality of plaque characteristics may be useful for determining the role of noncalcified plaque for risk stratification in asymptomatic individuals. ? 2016, Republic of China Society of Cardiology. All rights reserved.
SDGs
Other Subjects
Article; asymptomatic disease; atheroma; atherosclerosis; computed tomographic angiography; coronary artery disease; diagnostic value; emergency ward; health care quality; human; medical society; myocardial perfusion imaging; outcome assessment; screening; sinus rhythm; thorax pain
Type
journal article