Role of cardiac multidetector computed tomography in the exclusion of ischemic etiology in heart failure patients | Zendy

Pedro A. Sousa | Zendy; Nuno Bettencourt | Zendy; Nuno Ferreira | Zendy; Mónica Carvalho | Zendy; Daniel Leite | Zendy; Wilson Ferreira | Zendy; Ilídio de Jesus | Zendy; Vasco Gama | Zendy

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Role of cardiac multidetector computed tomography in the exclusion of ischemic etiology in heart failure patients

Author(s) -

Pedro A. Sousa,

Nuno Bettencourt,

Nuno Ferreira,

Mónica Carvalho,

Daniel Leite,

Wilson Ferreira,

Ilídio de Jesus,

Vasco Gama

Publication year - 2014

Publication title -

revista portuguesa de cardiologia

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.266

H-Index - 26

eISSN - 2174-2030

pISSN - 0870-2551

DOI - 10.1016/j.repc.2014.02.028

Subject(s) - medicine , cardiology , ejection fraction , stenosis , coronary artery disease , etiology , heart failure , radiology , context (archaeology) , multidetector computed tomography , agatston score , coronary arteries , angiography , artery , computed tomography , coronary artery calcium , paleontology , biology

Differentiation of ischemic from non-ischemic etiology in heart failure (HF) patients has both therapeutic and prognostic implications. One possible approach to this differentiation is direct visualization of the coronary tree. Multidetector computed tomography (MDCT) has emerged as an alternative to invasive coronary angiography (ICA), but its performance and additional clinical value are still not well validated in patients with left ventricular (LV) dysfunction. We aimed to assess the value of coronary MDCT angiography (CTA) in the exclusion of ischemic etiology in HF patients and to determine whether the Agatston calcium score could be used as a gatekeeper for CTA in this context.

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