A.A. MALOV¹, S.A. EREMIN²

¹Kazan State Medical University, Kazan

²Republican Clinical Hospital of the MH of RT, Kazan

  Contact:

Malov A.А. ― Assistant of the Oncology Department with a course of radiation diagnosis and radiotherapy

Address: 49 Butlerov Str., Kazan, Russian Federation, 420012, tel. +7-950-323-56-85, e-mail: malov_aleksei@inbox.ru

 One of the main pathophysiological processes of forming of an ischemic heart disease is atherosclerosis of coronary arteries. Due to subclinical forms, probable sudden cardiac death and high prevalence, it is important to search for efficient non-invasive techniques of early diagnostics. It would facilitate the timely initiation of medication treatment and correct selection of patients for surgery. This article describes the capabilities and role of multidetector computer tomography (MDCT) of heart and coronary arteries for diagnosing out-patients with ischemic heart disease and demonstrates the technique advantages and disadvantages compared with traditional coronarography (CAG).

Key words: ischemic heart disease (IHD), atherosclerosis, multidetector computer tomography (MDCT).

 (For citation: Malov A.A., Eremin S.A. Possibilities of a multidetector computer tomography (MDCT) angiography of heart and coronary arteries at ambulatory stage of diagnostics of an ischemic heart disease. Practical medicine. 2019. Vol. 17, № 6 (part 1), P. 39-43) 

REFERENCES

1. 2013 ESC Guidelines of the management of stable coronary artery disease. European Heart Journal, 2013, 34, pp. 2949-3003.
2. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. European Heart Journal, 2016, vol. 37, is. 29, pp. 2315-2381.
3. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC). European Heart Journal, 14 January, 2016, vol. 37, is. 3, pp. 267-315.
4. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. Eur. Heart J., 2014, 35, pp. 2873-2926.
5. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism: The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). European Heart Journal, 14 November, 2014, vol. 35, is. 43, pp. 3033-3080. https://doi.org/10.1093/eurheartj/ehu283
6. 2016 ESC/EAS Guidelines for the Management of Dyslipidaemias. European Heart Journal, 14 Oct, 2016, vol. 37, is. 39, pp. 2999-3058.
7. Gaspar T., Halon R., Rubinshtein N. Clinical applications and future trends in cardiac STA. Eur. Radiol. Suppl, 2005, 15 (14), pp. 10-14.
8. Mohan R., Laskey W. Myocardial infarction and the culprit plaque: myths, data and statistics. J. Invasive Cardiol, 2002 Jun, 14 (6), pp. 347-52.
9. Malov A.A., Bashirov R.A., Akhunova S.Yu., Yusupova A.F. The possibilities of cardiovisualization methods in the diagnosis and assessment of the progression of apical hypertrophic cardiomyopathy (AHMP). Prakticheskaya meditsina, 2018, vol. 16, no. 7 (part 2), pp. 65-71 (in Russ.).
10. Carr J.J. et al., Evaluation of Subsecond Gated Helical CT for Quantification of Coronary Artery Calcium and Comparison with Electron Beam CT. AJR, 2000, 174, pp. 915-921.
11. Burris II, A.C. et al. Triple Rule Out Versus Coronary CT Angiography in Patients with Acute Chest Pain. J. Am. Coll Cardiol. Img, 2015, 8, pp. 817-25.
12. Gaspar T., Halon R., Rubinshtein N. Clinical applications and future trends in cardiac STA. Eur. Radiol. Suppl, 2005, 15 (14), pp. 10-14.
13. Ohnesorge B.M., Flohr T.G., Becker C.R. et al. Multi-slice and dual-source CT in cardiac imaging. Springer, 2006.