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CARDIAC CT SCANNING

CARDIAC CT SCANNING. DR Kevin Rosenfeld West Hertfordshire NHS Trust Spire Harpenden Spire Bushey. CARDIAC CT. Coronary calcium scoring CT coronary angiography. Coronary calcium scoring. Assess calcium load in the coronary arteries Indirectly measures the degree of atheroma in ca

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CARDIAC CT SCANNING

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  1. CARDIAC CT SCANNING DR Kevin Rosenfeld West Hertfordshire NHS Trust Spire Harpenden Spire Bushey

  2. CARDIAC CT • Coronary calcium scoring • CT coronary angiography

  3. 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

  4. CT Coronary angiography • CTA and MRA • Peripheral,carotid,renal,intracranial • Cardiac- pulsation artefacts • Spatial resolution • Temporal resolution

  5. NORMAL RCA

  6. NORMAL LT CA

  7. 3D IMAGE OF HEART

  8. CT Coronary angiography

  9. Coronary artery disease

  10. CABG evaluation

  11. STENT EVALUATION

  12. CT Coronary angiograms • Nice guidelines march 2010 • Acute and stable chest pain

  13. 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

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

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