Jove
Visualize
Contáctanos
JoVE
x logofacebook logolinkedin logoyoutube logo
ACERCA DE JoVE
Visión GeneralLiderazgoBlogCentro de Ayuda JoVE
AUTORES
Proceso de PublicaciónConsejo EditorialAlcance y PolíticasRevisión por ParesPreguntas FrecuentesEnviar
BIBLIOTECARIOS
TestimoniosSuscripcionesAccesoRecursosConsejo Asesor de BibliotecasPreguntas Frecuentes
INVESTIGACIÓN
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchivo
EDUCACIÓN
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualCentro de Recursos para ProfesoresSitio de Profesores
Términos y Condiciones de Uso
Política de Privacidad
Políticas

Videos de Conceptos Relacionados

Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

23
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...
23
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

71
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
71
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

66
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...
66
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

45
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
45
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

119
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...
119
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

30
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
30

También podría leer

Artículos Relacionados

Artículos vinculados a este trabajo por autores compartidos, revista y gráfico de citas.

Ordenar por
Same authorSame journal

Non-invasive imaging of atherosclerosis progression and cardiovascular outcome: a systematic review and meta-analysis.

The international journal of cardiovascular imaging·2026
Same author

Population-based characterization of left atrial and appendage variations: Prevalence, risk factor associations, and sex-specific morphology.

Journal of cardiovascular computed tomography·2026
Same author

Cytomegalovirus infection and coronary artery disease in liver transplant recipients: Nationwide study using protocolized cardiac computed tomography.

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases·2026
Same author

Non-invasive pressure-volume loops by cardiovascular magnetic resonance and outcome in ST-elevation myocardial infarction.

European heart journal. Imaging methods and practice·2026
Same author

Design and rationale of the EMPagliflozin after Aortic Valve Replacement (EMPAVR) study: A randomized clinical trial.

American heart journal·2026
Same author

Lifestyle characteristics and plasma biomarkers for risk of MASLD differ by sex in the general population.

European journal of internal medicine·2026

Video Experimental Relacionado

Updated: Sep 9, 2025

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
04:40

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans

Published on: August 28, 2018

15.3K

La angiografía CT coronaria es un guardián seguro en el síndrome coronario agudo sin elevación de ST - El estudio

Jørgen Tobias Kühl1, Henning Kelbæk2, Michael M Ottesen2

  • 1Department of Cardiology, Zealand University Hospital, Roskilde, Denmark. tobiaskh@gmail.com.

The international journal of cardiovascular imaging
|September 2, 2025
PubMed
Resumen
Este resumen es generado por máquina.

La angiografía de tomografía computarizada coronaria (CCTA) identifica con seguridad a los pacientes con síndrome coronario agudo sin elevación del segmento ST (NSTEACS) que no requieren una angiografía coronaria invasiva. Esta imagen no invasiva ayuda a clasificar a los pacientes de manera efectiva y planificar la revascularización, evitando procedimientos innecesarios.

Palabras clave:
Síndrome coronario agudo no del segmento STFlujo de pacientesSeguridadEl triaje

Más Videos Relacionados

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

523
A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

24.4K

Videos de Experimentos Relacionados

Last Updated: Sep 9, 2025

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
04:40

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans

Published on: August 28, 2018

15.3K
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

523
A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

24.4K

Área de la Ciencia:

  • Cardiología
  • Imágenes médicas
  • Cardiología intervencionista

Sus antecedentes:

  • El síndrome coronario agudo sin elevación del segmento ST (NSTEACS) presenta un espectro de patología coronaria.
  • A menudo se recomienda la angiografía coronaria invasiva (ICA) para los pacientes con NSTEACS.
  • La utilidad de la angiografía computarizada coronaria no invasiva (CCTA) para la clasificación inicial de pacientes en NSTEACS no está bien establecida.

Objetivo del estudio:

  • Evaluar si el CCTA puede utilizarse para la clasificación segura de pacientes en el NSTEACS.
  • Determinar si el CCTA puede dar de alta de forma segura a los pacientes con NSTEACS sin enfermedad coronaria obstructiva, evitando el ICA.
  • El estudio VECTOR tuvo como objetivo evaluar el papel del CCTA en la organización de la revascularización para los NSTEACS.

Principales métodos:

  • Estudio piloto prospectivo en el que participaron 250 pacientes del NSTEACS.
  • Los pacientes fueron categorizados por CCTA: CTno obstructivo (sin estenosis ≥50%) o CTobstructivo/CTno diagnóstico.
  • Los pacientes con TCno obstructivo evitaron el ICA; otros se sometieron a un ICA inmediato. Los parámetros de seguridad se observaron durante 12 meses.

Principales resultados:

  • 51 (20%) pacientes fueron CT< sub> no obstructivo y fueron dados de alta sin ICA, con un seguimiento de 12 meses sin resultados.
  • 175 (70%) pacientes fueron CTobstructivo; 141 (81%) tenían enfermedad coronaria significativa confirmada por el ICA.
  • La CCTA guió la intervención coronaria percutánea (PCI) en el 25% de los pacientes con CTobstructivo, reduciendo la radiación, el equipo y el uso de contraste. No se produjo insuficiencia renal.

Conclusiones:

  • El CCTA permite evitar el ICA en aproximadamente el 20% de los pacientes con NSTEACS.
  • El CCTA facilita la clasificación eficiente de los pacientes y la planificación de la revascularización en el NSTEACS.
  • Este estudio piloto sugiere que el CCTA es una herramienta valiosa para el manejo de pacientes con NSTEACS.