Role of Dual-Acquisition Noninvasive Cardiac CT Imaging for the Detection of Vasospastic Angina

Autor: Kim, Xuan Jin, Eun-Ju Kang, Cai-De Jin, Kwang-Min Lee, Kyung-Hee Lim, Seung-Woon Rha, Cheol-Ung Choi, Hwan-Seok Yong, Sung-Cheol Yun, Matthew J. Budoff, Long-Hao Yu, Moo-Hyun
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Clinical Medicine; Volume 12; Issue 11; Pages: 3753
ISSN: 2077-0383
DOI: 10.3390/jcm12113753
Popis: Background: Vasospastic angina (VSA) is characterized by chest pain at rest with transient ischemic electrocardiographic changes in the ST segment, and a prompt response to nitrates. Vasospastic angina is among the most frequent of the coronary artery diseases in Asia, and coronary computed tomography angiography (CCTA) may become available as a non-invasive diagnosis method. Methods: We prospectively enrolled 100 patients with suspected vasospastic angina at two centers from 2018 to 2020. All patients underwent baseline CCTA without a vasodilator in the early morning followed by catheterized coronary angiography and spasm testing. CCTA with intravenous infusion of nitrate (IV) was repeated within 2 weeks of baseline CCTA. Vasospastic angina as detected by CCTA was defined as significant stenosis (≥50%) with negative remodeling without definite plaques or diffuse small diameter (
Databáze: OpenAIRE
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