Computed Tomography Coronary Angiography Experience at a Tertiary Care Cardiac Centre
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Ischemic heart disease (IHD) causes more death and disability and incurs greater economic costs than any other illness in the developed world. The aim of study was to highlight the role of computed tomographic scanning (CT) and coronary angiography (CTCA) as a diagnostic tool in patients with low and intermediate risk coronary artery disease (CAD) and as a part of study to assess coronary calcium score as a risk factor for CAD. Material and methods: This study was a prospective as well as retrospective study for a period of 3 years and was conducted as a comparative study on age, sex and risk matched two different groups of 40 patients each. The group 1 of patient was those who underwent invasive angiography and group 2 were those who were taken for CTCA. The data for group 1 was taken retrospectively prior to availability of CTCA at our center. The patients were subjected to CTCA after their consent and institutional ethical clearance. Results: The prevalence of CAD in CTCA group in our study was 14.37% and the prevalence of CAD in invasive angiography group was 16.87%. Patients with CAC>100 showed higher prevalence of significant and severe disease, the positivity rates of CAC increased with age and were more common in males. Conclusion: Computed tomographic coronary angiography has become a valuable tool to screen low and intermediate risk cardiac disease. Patients who test positive on CTCA should go for invasive angiography for definitive opinion. Those who test negative on CTCA can be managed conservatively. CTCA is not recommended for high risk patients. They should directly go for invasive angiography.
Authors and Affiliations
Yasir Bashir, Shabeer Ahmad Mir, Farooq Ahmad Ganie, Bilal Musharaf, Khurshid Iqbal, Feroze Shaheen, Asif Ahmad, Nusrat Bashir
Keywords
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