Coronary CT Angiography in Challenging Patients: High Heart Rate and Atrial Fibrillation. A Review.
Cardiac computed tomography angiography
Coronary artery disease
High heart rate
Journal
Academic radiology
ISSN: 1878-4046
Titre abrégé: Acad Radiol
Pays: United States
ID NLM: 9440159
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
04
12
2018
revised:
17
01
2019
accepted:
20
01
2019
pubmed:
13
2
2019
medline:
17
6
2020
entrez:
13
2
2019
Statut:
ppublish
Résumé
Despite several strategies have been developed by different vendors to improve image quality and diagnostic accuracy of coronary CT angiography performed at high heart rate (HR) and HR variability, as in patients with atrial fibrillation (AF), some concerns and small clinical experience characterize these subsets of challenging patients. However, patients with AF have been reported to have higher risk of cardiovascular events and noninvasive evaluation of suspected coronary artery disease in this setting may be of extreme clinical interest. The goal of this review is to provide to the reader an overview on the use of cardiac CT in patients with AF and high HR and to outline the technological improvements recently introduced in the clinical field that may enable to definitively overcome the limitations of cardiac CT in this challenging scenario.
Identifiants
pubmed: 30745172
pii: S1076-6332(19)30052-2
doi: 10.1016/j.acra.2019.01.022
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1544-1549Informations de copyright
Copyright © 2019 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.