[Coronary heart-CT]

N Faucheron1, P Reimer

  • 1Zentralinstitut für Bildgebende Diagnostik, Städtisches Klinikum Karlsruhe, Moltkestrasse 90, 76133 Karlsruhe. nadine.faucheron@klinikum-karlsruhe.com

Der Radiologe
|June 4, 2008
PubMed

Insights

Computer tomography (CT) advancements allow detailed heart and coronary artery imaging. This improves risk assessment for asymptomatic patients and identifies blockages, aiding in managing ischemic heart disease, a leading cause of death.

Area of Science:

  • Cardiovascular Imaging
  • Radiology
  • Medical Diagnostics

Background:

  • Ischemic heart disease is a leading cause of mortality globally.
  • Advancements in computer tomography (CT) offer high-resolution cardiac imaging.
  • CT enables detailed examination of the heart and coronary arteries.

Purpose of the Study:

  • To highlight the role of CT in assessing ischemic heart disease.
  • To demonstrate CT's utility in risk stratification and plaque identification.
  • To review the applications of CT coronary angiography.

Main Methods:

  • Utilizing native CT for coronary calcification assessment and risk stratification.
  • Employing contrast-enhanced CT coronary angiography for stenosis and plaque detection.
  • Evaluating coronary artery anatomy, grafts, and stents via CT.

Main Results:

  • Native CT aids in risk stratification of asymptomatic individuals by identifying coronary calcification.
  • Contrast-enhanced CT coronary angiography accurately identifies and quantifies stenoses.
  • CT effectively visualizes non-calcified plaques, coronary anatomy, and bypass grafts.

Conclusions:

  • CT imaging provides valuable insights for managing ischemic heart disease.
  • CT enhances cardiovascular risk assessment and diagnostic capabilities.
  • Advanced CT techniques are crucial for comprehensive coronary artery evaluation.

Related Concept Videos

Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Coronary Circulation01:21

Coronary Circulation

The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...