Document Detail


Integrated coronary computed tomographic angiography in an office-based cardiology practice.
MedLine Citation:
PMID:  20065929     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Multidetector coronary computed tomographic angiography (CCTA) visualizes coronary artery disease directly, thereby identifying atherosclerosis rather than ischemia. CCTA has the potential to be a useful, noninvasive gatekeeper for the identification of patients who are appropriate candidates for conventional coronary angiography and can also help determine the need for more aggressive risk modification, including cholesterol control. Integration of 64-slice CCTA scanning into a large, urban cardiology practice resulted in clearer stratification of patients into those with and without disease. Physicians used this information to improve lipid management while simultaneously reducing the use of other cardiac testing. The ability to assess cardiac calcium scoring was an additional advantage of integrating CCTA into the practice. Further reductions in the use of myocardial perfusion imaging may be expected as a result of the use of CCTA as the first test for the intermediate-risk patient.
Authors:
Ronald P Karlsberg; Matthew J Budoff; Louise E J Thomson; John D Friedman; Daniel S Berman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Reviews in cardiovascular medicine     Volume:  10     ISSN:  1530-6550     ISO Abbreviation:  Rev Cardiovasc Med     Publication Date:  2009  
Date Detail:
Created Date:  2010-01-12     Completed Date:  2010-03-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960007     Medline TA:  Rev Cardiovasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  194-201     Citation Subset:  IM    
Affiliation:
Cardiovascular Research Foundation of Southern California, Los Angeles, CA.
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MeSH Terms
Descriptor/Qualifier:
Biological Markers / blood
Calcinosis / radiography
California
Cardiology / methods*
Coronary Angiography / methods*
Coronary Artery Disease / blood,  etiology,  radiography*
Humans
Lipids / blood
Office Visits*
Physician's Practice Patterns
Predictive Value of Tests
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Tomography, X-Ray Computed*
Unnecessary Procedures
Urban Health Services*
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Lipids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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