Clinical Case Database / Category: Patient Management
CT coronary angiography
Publication details
Dr Prashant Sankaye, Dr Sharmila Chhatani, Dr Sarah Harrison MBChB, MRCP FRCR
Foundation Years Journal, volume 7, issue 9, p.16 (123Doc Education, London, October 2013)
Abstract
This article will focus on CT coronary angiography (CTCA), a commonly performed non-invasive cardiac imaging test. We present three case based discussions to explain the indications, contraindications, advantages of CTCA and its relevance in patient management.
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Authors
Dr Prashant Sankaye
Radiology Registrar
Torbay Hospital
docprashant1@gmail.com
Dr Sharmila Chhatani
Radiology Registrar
Derriford Hospital, Plymouth
sharmila.chhatani@nhs.net
Dr Sarah Harrison MBChB, MRCP FRCR
Cousultant Radiologist
Torbay Hospital
sarah.harrison6@nhs.net
References
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2. Pryor DB, Shaw L, McCants CB et al. (1993) Value of the history and physical in identifying patients at increased risk for coronary artery disease. Annals of Internal Medicine 118(2): 81–90.
3. Chest pain of recent onset (CG95) nice guidelines and Diagnostics guidance, DG3 - Issued: January 2012
4. Cury RC, Budoff M, Taylor AJ, T. Coronary CT angiography versus standard of care for assessment of chest pain in the emergency department.; J Cardiovasc Comput Tomogr. 2013 Feb 27. pii: S1934-5925(13)00052-X.
5. Meijboom WB, Meijs MF, Schuijf JD et al. Diagnostic accuracy of 64-slice computed tomography coronary angiography: a prospective, multicenter, multivendor study. J Am Coll Cardiol 2008;52:2135–44
6. Falk E, Shah PK, Fuster V. Coronary plaque disruption. Circulation 1995;92:657–71.
7. Eason, D., Leslie, S. J., Hince, A. J., & Miller, J. H. (2012). Radiation dose at CT coronary angiography: how low can we go?. The journal of the Royal College of Physicians of Edinburgh, 42(3), 216.
8. Schuhbaeck, A., Achenbach, S., Layritz, C., Eisentopf, J., Hecker, F., Pflederer, T., Gauss, S., et al. (2013). Image quality of ultra-low radiation exposure coronary CT angiography with an effective dose <0.1 mSv using high-pitch spiral acquisition and raw databased iterative reconstruction. European Radiology, 23(3), 597–606.
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Conflict Of Interest
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Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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