Coronary angiotomography in patients with acute coronary syndrome without ST elevation.

Juan Furmento, Diego Conde, Ian Chapman, Paola Kuschnir, Agustina Sciancalepore, Juan P Costabel

Journal: Current problems in cardiology 2024;49(4):102452

PMID: 38342348

Full Text on Elsevier Science View on PubMed

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.

Address: Department of Cardiology, Cardiovascular Institute of Buenos Aires, Blanco Encalada 1543, Buenos Aires 1428, Argentina.; Department of Cardiology, Cardiovascular Institute of Buenos Aires, Blanco Encalada 1543, Buenos Aires 1428, Argentina. Electronic address: [email protected].

DOI: 10.1016/j.cpcardiol.2024.102452

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MeSH Terms: Humans, Acute Coronary Syndrome, ST Elevation Myocardial Infarction, Coronary Artery Disease, Angioplasty, Tomography