Diagnosis and management of silent coronary ischemia in patients undergoing carotid endarterectomy.
Aged
Carotid Artery Diseases
/ diagnostic imaging
Clinical Decision-Making
Computed Tomography Angiography
Coronary Angiography
Coronary Artery Bypass
Coronary Artery Disease
/ diagnostic imaging
Endarterectomy, Carotid
/ adverse effects
Female
Fractional Flow Reserve, Myocardial
Humans
Male
Middle Aged
Percutaneous Coronary Intervention
Predictive Value of Tests
Prospective Studies
Risk Assessment
Risk Factors
Treatment Outcome
Carotid artery disease
Carotid endarterectomy
Coronary CT-derived fractional flow reserve
Coronary revascularization
Preoperative cardiac evaluation
Silent myocardial ischemia
Survival analysis
Journal
Journal of vascular surgery
ISSN: 1097-6809
Titre abrégé: J Vasc Surg
Pays: United States
ID NLM: 8407742
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
08
02
2020
accepted:
02
06
2020
pubmed:
6
7
2020
medline:
31
8
2021
entrez:
6
7
2020
Statut:
ppublish
Résumé
Coronary artery disease is the primary cause of death in patients with carotid artery disease and silent ischemia is a marker for adverse coronary events. A new noninvasive cardiac diagnostic test, coronary computed tomography-derived fractional flow reserve (FFR Patients with no cardiac history or symptoms admitted for elective CEA were enrolled in a prospective, open-label, institutional review board-approved study and underwent preoperative coronary computed tomography angiography (CTA) and FFR Coronary CTA and FFR Patients undergoing CEA have a high prevalence of unsuspected (silent) coronary ischemia, which may place them at risk for coronary events. Preoperative diagnosis of silent ischemia using CTA and FFR
Sections du résumé
BACKGROUND
Coronary artery disease is the primary cause of death in patients with carotid artery disease and silent ischemia is a marker for adverse coronary events. A new noninvasive cardiac diagnostic test, coronary computed tomography-derived fractional flow reserve (FFR
METHODS
Patients with no cardiac history or symptoms admitted for elective CEA were enrolled in a prospective, open-label, institutional review board-approved study and underwent preoperative coronary computed tomography angiography (CTA) and FFR
RESULTS
Coronary CTA and FFR
CONCLUSIONS
Patients undergoing CEA have a high prevalence of unsuspected (silent) coronary ischemia, which may place them at risk for coronary events. Preoperative diagnosis of silent ischemia using CTA and FFR
Identifiants
pubmed: 32623107
pii: S0741-5214(20)31467-1
doi: 10.1016/j.jvs.2020.06.045
pii:
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
533-541Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.