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Cardiovascular diseases are the most common cause of mortality and morbidity in adults worldwide.1 Coronary angiography (CAG) is the gold standard method for evaluating atherosclerotic coronary artery disease (CAD).2 It is conventionally performed via the trans-femoral (TF) route. Recently, however, the trans-radial (TR) route has become the preferred way.3 The TR route offers better procedure comfort, shorter hospitalization […]

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Potential role of coronary computed tomography-angiography for guiding perioperative cardiac management for non-cardiac surgery

Amit K. Pahwa, Armin Arbab-Zadeh, Daniel J. Brotman, Leonard S. Feldman
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Published Online: Aug 7th 2018 Heart International 2013;8(1):e1 DOI: https://doi.org/10.4081/hi.2013.e1
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Abstract

Overview

Perioperative cardiac events can be a major
consequence of surgery. The American College
of Cardiology Foundation/American Heart
Association has set out guidelines to aid
physicians in identifying patients at the highest
risk for these events. The guidelines do
recommend for some patients to undergo noninvasive
cardiac stress testing for further risk
stratification, but their sensitivity and specificity
for predicting cardiac events is not optimal.
With more data emerging of the superior
performance of computed coronary tomography
angiography (CCTA) compared to noninvasive
stress testing, CCTA could be more
useful in risk stratification for these patients.

Keywords

Computed coronary tomography angiography, myocardial perfusion imaging, cardiac event.

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Article Information

Correspondence

Amit K. Pahwa, Nelson 219, 600 North Wolfe Street, Baltimore, MD 21287, USA. E-mail: pahwa@jhmi.edu

Received

2012-09-01T00:00:00

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