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Coronary angiotomography in patients with acute coronary syndrome without ST elevation.
Chapman, Ian; Kuschnir, Paola; Sciancalepore, Agustina; Conde, Diego; Furmento, Juan; Costabel, Juan P.
Afiliação
  • Chapman I; Department of Cardiology, Cardiovascular Institute of Buenos Aires, Blanco Encalada 1543, Buenos Aires 1428, Argentina.
  • Kuschnir P; Department of Cardiology, Cardiovascular Institute of Buenos Aires, Blanco Encalada 1543, Buenos Aires 1428, Argentina.
  • Sciancalepore A; Department of Cardiology, Cardiovascular Institute of Buenos Aires, Blanco Encalada 1543, Buenos Aires 1428, Argentina.
  • Conde D; Department of Cardiology, Cardiovascular Institute of Buenos Aires, Blanco Encalada 1543, Buenos Aires 1428, Argentina. Electronic address: diegogabrielconde@gmail.com.
  • Furmento J; Department of Cardiology, Cardiovascular Institute of Buenos Aires, Blanco Encalada 1543, Buenos Aires 1428, Argentina.
  • Costabel JP; Department of Cardiology, Cardiovascular Institute of Buenos Aires, Blanco Encalada 1543, Buenos Aires 1428, Argentina.
Curr Probl Cardiol ; 49(4): 102452, 2024 Apr.
Article em En | MEDLINE | ID: mdl-38342348
ABSTRACT

BACKGROUND:

In patients presenting with acute coronary syndrome (ACS) current clinical practice guidelines recommend coronary angiography for its study. This study aims to describe the role of coronary tomography (CT) in non-ST-segment elevation acute coronary syndromes (NSTE-ACS).

RESULTS:

Patients over 18 years with a diagnosis of NSTE-ACS who did not meet high-risk criteria and consulted the emergency department of our institution were included. A total of 410 patients were included, in 7% of them, the study was not continued due to an elevated calcium score (>400 AU). 27% had no coronary lesions, 38% had non-obstructive coronary disease (plaques <50%), 27% had plaques over 50%, and 8% were not assessable. Of the total patients, 39% underwent coronary angiography, and 22% required percutaneous angioplasty.

CONCLUSIONS:

Performing CT in low and moderate-risk NSTE-ACS patients was feasible, avoiding invasive studies in a significant number of patients and providing extensive anatomical information.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença da Artéria Coronariana / Síndrome Coronariana Aguda / Infarto do Miocárdio com Supradesnível do Segmento ST Tipo de estudo: Guideline Limite: Humans Idioma: En Revista: Curr Probl Cardiol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Argentina País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença da Artéria Coronariana / Síndrome Coronariana Aguda / Infarto do Miocárdio com Supradesnível do Segmento ST Tipo de estudo: Guideline Limite: Humans Idioma: En Revista: Curr Probl Cardiol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Argentina País de publicação: Holanda