The Clear Value of Coronary Artery Calcification Evaluation on Non-Gated Chest Computed Tomography for Cardiac Risk Stratification.
IF 3
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
引用次数: 0
Abstract
To enhance risk stratification in patients suspected of coronary artery disease, the assessment of coronary artery calcium (CAC) could be incorporated, especially when CAC can be readily assessed on previously performed non-gated chest computed tomography (CT). Guidelines recommend reporting on patients' extent of CAC on these non-cardiac directed exams and various studies have shown the diagnostic and prognostic value. However, this method is still little applied, and no current consensus exists in clinical practice. This review aims to point out the clinical utility of different kinds of CAC assessment on non-gated CTs. It demonstrates that these scans indeed represent a merely untapped and underestimated resource for risk stratification in patients with stable chest pain or an increased risk of cardiovascular events. To our knowledge, this is the first review to describe the clinical utility of different kinds of visual CAC evaluation on non-gated unenhanced chest CT. Various methods of CAC assessment on non-gated CT are discussed and compared in terms of diagnostic and prognostic value. Furthermore, the application of these non-gated CT scans in the general practice of cardiology is discussed. The clinical utility of coronary calcium assessed on non-gated chest CT, according to the current literature, is evident. This resource of information for cardiac risk stratification needs no specific requirements for scan protocol, and is radiation-free and cost-free. However, some gaps in research remain. In conclusion, the integration of CAC on non-gated chest CT in general cardiology should be promoted and research on this method should be encouraged.
非门控胸部计算机断层扫描的冠状动脉钙化评估对心脏风险分层的明确价值。
为加强对疑似冠状动脉疾病患者的风险分层，可纳入冠状动脉钙化（CAC）评估，尤其是在之前进行的非门控胸部计算机断层扫描（CT）可轻松评估 CAC 的情况下。指南建议在这些非心脏导向检查中报告患者的 CAC 程度，各种研究也显示了其诊断和预后价值。然而，这种方法的应用仍然很少，目前在临床实践中也没有达成共识。本综述旨在指出非门控 CT 上不同类型 CAC 评估的临床实用性。它表明，这些扫描在对稳定型胸痛或心血管事件风险增加的患者进行风险分层方面确实是一种尚未开发和被低估的资源。据我们所知，这是第一篇描述在非门控未增强胸部 CT 上进行各种视觉 CAC 评估的临床实用性的综述。文中讨论了在非门控 CT 上进行 CAC 评估的各种方法，并就其诊断和预后价值进行了比较。此外，还讨论了这些非门控 CT 扫描在心脏病学一般实践中的应用。根据目前的文献，非门控胸部 CT 评估冠状动脉钙化的临床实用性是显而易见的。这种用于心脏风险分层的信息资源对扫描方案没有特殊要求，而且无辐射、无成本。然而，研究中仍存在一些空白。总之，应在普通心脏病学中推广将 CAC 纳入非门控胸部 CT，并鼓励对这种方法进行研究。
本文章由计算机程序翻译，如有差异，请以英文原文为准。
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来源期刊
Cardiology and Therapy
CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
5.30
自引率
0.00%
发文量
38
审稿时长
6 weeks
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Cardiology and Therapy is an international, open access, peer reviewed (single-blind), rapid-publication journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of cardiovascular therapies and interventions, including devices. Studies relating to diagnosis and diagnostics, pharmacoeconomics, public health, quality of life, as well as patient care, management and education are also encouraged.
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