Expanding Clinical Indications for Cardiac CT: A Review of Its Current Utility in American and European Guidelines.

IF 5.2 2区医学 Q1 PERIPHERAL VASCULAR DISEASE

Current Atherosclerosis Reports Pub Date : 2025-10-13 DOI:10.1007/s11883-025-01341-8

Ahmad El Yaman, Asim Shaikh, Ahmed Sayed, Maria Alwan, Alaaeddine El Ghazawi, Mahmoud Al Rifai, Mouaz H Al-Mallah

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Abstract

Purpose of review: Cardiac computed tomography (CCT) is now an essential noninvasive imaging modality for evaluating a broad range of cardiovascular conditions. This review summarizes the most recent recommendations from the American College of Cardiology/American Heart Association (ACC/AHA) and the European Society of Cardiology (ESC), providing an updated overview of the evolving role of CCT in risk assessment, chest pain evaluation, structural heart disease, arrhythmias, and perioperative management.

Recent findings: Compared to prior guidelines issued between 2008 and 2015, the number of CCT-related recommendations has significantly increased from 42 to 51 in the ACC/AHA guidelines, and from 20 to 31 in the ESC guidelines. This growth reflected the broadening role of CCT in the assessment of coronary artery disease, acute and stable chest pain, valvular and congenital heart disease, arrhythmias, and perioperative risk stratification. Additionally, the review highlighted emerging applications such as CT-derived fractional flow reserve (FFR-CT) and CCT-guided planning for structural interventions. By consolidating and contextualizing current recommendations, this work underscores the vital and continuously evolving role of CCT in cardiovascular practice.

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扩大心脏CT的临床适应症：回顾其目前在美国和欧洲指南中的应用。

回顾目的：心脏计算机断层扫描（CCT）现在是一种重要的无创成像方式，用于评估广泛的心血管疾病。本综述总结了美国心脏病学会/美国心脏协会（ACC/AHA）和欧洲心脏病学会（ESC）的最新建议，提供了CCT在风险评估、胸痛评估、结构性心脏病、心律失常和围手术期管理中不断发展的作用的最新概述。最近的发现：与2008年至2015年间发布的先前指南相比，ACC/AHA指南中cct相关建议的数量从42条增加到51条，ESC指南从20条增加到31条。这一增长反映了CCT在冠状动脉疾病、急性和稳定型胸痛、瓣膜性和先天性心脏病、心律失常和围手术期风险分层评估中的作用日益扩大。此外，该综述还重点介绍了ct衍生的分流储备（FFR-CT）和ct指导的结构干预计划等新兴应用。通过巩固和整合目前的建议，这项工作强调了CCT在心血管实践中的重要和不断发展的作用。

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

Current Atherosclerosis Reports 医学-

CiteScore

9.00

自引率

3.40%

发文量

审稿时长

6-12 weeks

期刊介绍： The aim of this journal is to systematically provide expert views on current basic science and clinical advances in the field of atherosclerosis and highlight the most important developments likely to transform the field of cardiovascular prevention, diagnosis, and treatment. We accomplish this aim by appointing major authorities to serve as Section Editors who select leading experts from around the world to provide definitive reviews on key topics and papers published in the past year. We also provide supplementary reviews and commentaries from well-known figures in the field. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.