International Journal of Cardiology
Volume 135, Issue 3 , Pages 280-286 , 10 July 2009

Early detection of coronary artery disease by 64-slice multidetector computed tomography in asymptomatic hypertensive high-risk patients

  • Carlo Gaudio

      Affiliations

    • Department of Heart and Great Vessels “A. Reale”, University “La Sapienza” of Rome, Rome, Italy
    • Corresponding Author InformationCorresponding author. Via Gregorio VII, n. 324, 00165 Roma, Italy. Tel.: +39 335 5219637; fax: +39 06 4453891.
    • ,
  • Francesca Mirabelli

      Affiliations

    • Department of Heart and Great Vessels “A. Reale”, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Francesco Pelliccia

      Affiliations

    • Department of Heart and Great Vessels “A. Reale”, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Marco Francone

      Affiliations

    • Department of Radiological Sciences, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Gaetano Tanzilli

      Affiliations

    • Department of Heart and Great Vessels “A. Reale”, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Sara Di Michele

      Affiliations

    • Department of Heart and Great Vessels “A. Reale”, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Stefania Leonetti

      Affiliations

    • Department of Heart and Great Vessels “A. Reale”, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Giuseppe De Vincentis

      Affiliations

    • Department of Radiological Sciences, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Iacopo Carbone

      Affiliations

    • Department of Radiological Sciences, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Enrico Mangieri

      Affiliations

    • Department of Heart and Great Vessels “A. Reale”, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Carlo Catalano

      Affiliations

    • Department of Radiological Sciences, University “La Sapienza” of Rome, Rome, Italy
    • ,
  • Roberto Passariello

      Affiliations

    • Department of Radiological Sciences, University “La Sapienza” of Rome, Rome, Italy

Received 6 December 2007 ,Revised 28 February 2008 ,Accepted 6 March 2008.

References 

  1. Leber AW, Knez A, von Ziegler F, et al. Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography: a comparative study with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol. 2005;46:147–154
  2. Raff GL, Gallagher MJ, O'Neill WW, Goldstein JA. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol. 2005;46:552–557
  3. Wijpkema JS, Tio RA, Zijlstra F. Quantification of coronary lesions by 64-slice computed tomography compared with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol. 2006;47:891–892
  4. Hoffmann U, Brady TJ, Muller J. Use of new imaging techniques to screen for coronary artery disease. Circulation. 2003;108:E50–E53
  5. Greenland P, Gaziano JM. Selecting asymptomatic patients for coronary computed tomography or electrocardiographic exercise testing. N Engl J Med. 2003;349:465–473
  6. Sechtem U, Vohringer M. The clinical role of ‘non-invasive’ coronary angiography by multidetector spiral computed tomography: yet to be defined. Eur Heart J. 2005;26:1942–1944
  7. Leber AW, Johnson T, Becker A, et al. Diagnostic accuracy of dual-source multi-slice CT-coronary angiography in patients with an intermediate pretest likelihood for coronary artery disease. Eur Heart J. 2007;28:2354–2360
  8. Meijboom WB, van Mieghem CA, Mollet NR, et al. 64-slice computed tomography coronary angiography in patients with high, intermediate, or low pretest probability of significant coronary artery disease. J Am Coll Cardiol. 2007;50:1469–1475
  9. Romeo F, Leo R, Clementi F, et al. Multislice computed tomography in asymptomatic high-risk population. Am J Cardiol. 2007;99:325–328
  10. Schoenhagen P, Stillman AE, White RD. Emerging clinical applications of coronary multi-detector computed tomography (MDCT). Eur Heart J. 2004;25:13
  11. Chobanian AV, Bakris GL, Black HR, et al. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206–1252
  12. Conroy RM, Pyorala K, Fitzgerald AP, et al. Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project. Eur Heart J. 2003;24:987–1003
  13. Callister TQ, Cooil B, Raya SP, Lippolis NJ, Russo DJ, Raggi P. Coronary artery disease: improved reproducibility of calcium scoring with electron-beam CT volumetric method. Radiology. 1998;208:807–814
  14. Austen WG, Edwards JE, Frye RL. A reporting system on patients evaluated for coronary artery disease. Circulation. 1975;51:5–40
  15. Leber AW, Knez A, Becker A, et al. Accuracy of multidetector spiral computed tomography in identifying and differentiating the composition of coronary atherosclerotic plaques. A comparative study with intracoronary ultrasound. J Am Coll Cardiol. 2004;43:1241–1247
  16. Waters D, Lesperance J, Craven TE, et al. Advantages and limitations of serial coronary arteriography for the assessment of progression and regression of coronary atherosclerosis: implications for clinical trials. Circulation. 1993;87(suppl II):38–47
  17. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–310
  18. Smith SC. Current and future directions of cardiovascular risk prediction. Am J Cardiol. 2006;97:28A–32A
  19. D'Agostino RB, Grundy S, Sullivan LM, Wilson P. CHD Risk Prediction Group. Validation of the Framingham coronary heart disease prediction scores: results of a multiple ethnic groups investigation. JAMA. 2001;286:180–187
  20. Empana JP, Ducimetiere P, Arveiler D, et al. Are the Framingham and PROCAM coronary heart disease risk functions applicable to different European populations? The PRIME Study. Eur Heart J. 2003;24:1903–1911
  21. Taylor AJ. Atherosclerosis imaging to detect and monitor cardiovascular risk. Am J Cardiol. 2002;90:8L–11L
  22. Rubinshtein R, Halon DA, Gaspar T, et al. Impact of 64-slice cardiac computed tomographic angiography on clinical decision-making in emergency department patients with chest pain of possible myocardial ischemic origin. Am J Cardiol. 2007;100:1522–1526
  23. Rubinshtein R, Halon DA, Gaspar T, et al. Usefulness of 64-slice multidetector computed tomography in diagnostic triage of patients with chest pain and negative or nondiagnostic exercise treadmill test result. Am J Cardiol. 2007;99:925–929
  24. Hoffmann U, Moselewski F, Cury RC, et al. Predictive value of 16-slice multidetector spiral computed tomography to detect significant obstructive coronary artery disease in patients at high risk for coronary artery disease: patient-versus segment-based analysis. Circulation. 2004;110:2638–2643
  25. Schuijf JD, Bax JJ, Jukema JW, et al. Noninvasive evaluation of the coronary arteries with multislice computed tomography in hypertensive patients. Hypertension. 2005;45:227–232
  26. Achenbach S, Daniel WG. Computed tomography of the coronary arteries: more than meets the (angiographic) eye. J Am Coll Cardiol. 2005;46:155–157
  27. De Backer G, Ambrosioni E, Borch-Johnsen K, et al. European Guidelines on cardiovascular disease prevention in clinical practice. Third Joint Task Force of european and other societies on cardiovascular disease prevention in clinical practice. Eur J Cardiovasc Prev Rehabil. 2003;10:S1–S10
  28. Mayer B, Lieb W, Radke PW, et al. Association between arterial pressure and coronary artery calcification. J Hypertens. 2007;25:1731–1738
  29. Kalra MK, Maher MM, Toth TL, et al. Techniques and applications of automatic tube current modulation for CT. Radiology. 2004;233:649–657
  30. Coles DR, Smail MA, Negus IS, et al. Comparison of radiation doses from multislice computed tomography coronary angiography and conventional diagnostic angiography. J Am Coll Cardiol. 2006;47:1840–1845

PII: S0167-5273(08)00523-8

doi: 10.1016/j.ijcard.2008.03.091

International Journal of Cardiology
Volume 135, Issue 3 , Pages 280-286 , 10 July 2009

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