CARDIAC CT SCANNING

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CARDIAC CT SCANNING

• DR Kevin Rosenfeld
• West Hertfordshire NHS Trust
• Spire Harpenden
• Spire Bushey

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CARDIAC CT

• Coronary calcium scoring
• CT coronary angiography

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Coronary calcium scoring

• Assess calcium load in the coronary arteries
• Indirectly measures the degree of atheroma in ca
• Calcium score based on site and density
• Risk of coronary artery disease

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CT Coronary angiography

• CTA and MRA
• Peripheral,carotid,renal,intracranial
• Cardiac- pulsation artefacts
• Spatial resolution
• Temporal resolution

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NORMAL RCA
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NORMAL LT CA
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3D IMAGE OF HEART
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CT Coronary angiography
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Coronary artery disease
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CABG evaluation
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STENT EVALUATION
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CT Coronary angiograms

• Nice guidelines march 2010
• Acute and stable chest pain

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Chest pain of recent onset Assessment and
diagnosis of recent onset chest pain or
discomfort of suspected cardiac origin This
guidance partially updates NICE technology
appraisal guidance 73 (published November 2003)
Issue date March 2010
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CARDIAC CT

• How can I arrange for myself or my patient to
  have a scan?
• Is it available in all hospitals?
• Cost?