Аннотация:
Purpose. The purpose of this study is to compare the diagnostic performance of coronary computed tomographic angiography (CCTA) and stress test as a first-line examination for the diagnosis of stable coronary artery disease in outpatient settings. Materials and methods. The study prospectively enrolled 74 patients with typical and atypical angina symptoms lasting longer than three weeks, mean age-63,9±10,4 years, 28 (37,8[%]) women. Exclusion criteria: contraindications to iodine-containing contrast media, statins; GFR <45ml/min/1,73 sq m; inability to perform stress testing. All patients consistently underwent stress testing (standard Bruce protocol and The Modified Bruce protocol) and standard CCTA on a 640-slice CT scanner Toshiba Aquilion ONE. We determined pretest probability of CAD and stratified risks using SCORE and ACC/AHA scales. Statistical processing was performed with SPSS version 11,5 software. Results. Treadmill test results were positive in 51,4[%] of patients, among them a
Ел М. Х. Е. Манаа Х.Е.
Щекочихин Д. Ю. Дмитрий Юрьевич 1985-
Шабанова М. С.
Гогниева Д. Г. Дарья Геннадиевна 1990-
Ломоносова А. А.
Гогиберидзе Н. А.
Терновой С. К. Сергей Константинович 1948-
Шария М. А. Мераб Арчильевич 1961-
Кондрашина О. С.
Серова Н. С. Наталья Сергеевна 1979-
Меситская Д. Ф. Динара Фератовна 1980-
Копылов Ф. Ю. Филипп Юрьевич 1976-
Сыркин А. Л. Абрам Львович 1930-
El M. H. E. Manaa H.E.
Shhekochikhin D. Yu. Dmitrij Yuryevich 1985-
Shabanova M. S.
Gognieva D. G. Dar`ya Gennadievna 1990-
Lomonosova A. A.
Gogiberidze N. A.
Ternovoj S. K. Sergej Konstantinovich 1948-
Shariya M. A. Merab Archilyevich 1961-
Kondrashina O. S.
Serova N. S. Natal`ya Sergeevna 1979-
Mesitskaya D. F. Dinara Feratovna 1980-
Kopy'lov F. Yu. Filipp Yuryevich 1976-
Sy'rkin A. L. Abram L`vovich 1930-
Coronary computed tomographic angiography in the diagnosis of coronary artery disease in outpatient settings
Текст визуальный непосредственный
Российский электронный журнал лучевой диагностики
Национальный конгресс лучевых диагностов
Т. 8, Вып. 2 С. 40-48
2018
Статья
Atherosclerosis Computed tomography Coronary artery disease Pretest probability Risk score Stress Test
Purpose. The purpose of this study is to compare the diagnostic performance of coronary computed tomographic angiography (CCTA) and stress test as a first-line examination for the diagnosis of stable coronary artery disease in outpatient settings. Materials and methods. The study prospectively enrolled 74 patients with typical and atypical angina symptoms lasting longer than three weeks, mean age-63,9±10,4 years, 28 (37,8[%]) women. Exclusion criteria: contraindications to iodine-containing contrast media, statins; GFR <45ml/min/1,73 sq m; inability to perform stress testing. All patients consistently underwent stress testing (standard Bruce protocol and The Modified Bruce protocol) and standard CCTA on a 640-slice CT scanner Toshiba Aquilion ONE. We determined pretest probability of CAD and stratified risks using SCORE and ACC/AHA scales. Statistical processing was performed with SPSS version 11,5 software. Results. Treadmill test results were positive in 51,4[%] of patients, among them a