Comparison of Cardiac Computed Tomography for the Detection of Coronary Artery Disease With Nuclear Stress Test
Status: | Completed |
---|---|
Conditions: | Peripheral Vascular Disease, Cardiology |
Therapuetic Areas: | Cardiology / Vascular Diseases |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 5/5/2014 |
Start Date: | March 2006 |
End Date: | December 2009 |
Contact: | Victor H Shin, MD |
Email: | vshinmd@gmail.com |
Phone: | 917-572-7939 |
To compare the efficacy of 16-row multi-detector CT (MDCT) with standard myocardial
perfusion imaging in detecting coronary artery disease (CAD) in patients without a
previously established diagnosis of CAD.
perfusion imaging in detecting coronary artery disease (CAD) in patients without a
previously established diagnosis of CAD.
Nuclear stress testing is currently the established non-invasive modality in detecting
flow-obstructing coronary artery disease (CAD).
Recently, multi-detector CT (MDCT) has emerged as a new modality that offers a non-invasive
means to directly visualize coronary anatomy and any CAD. Studies have shown that MDCT has
excellent sensitivity and a high negative predictive value in detecting significant CAD.
The purpose of this study is to compare MDCT with nuclear stress testing for detecting CAD
in previously undiagnosed patients.
flow-obstructing coronary artery disease (CAD).
Recently, multi-detector CT (MDCT) has emerged as a new modality that offers a non-invasive
means to directly visualize coronary anatomy and any CAD. Studies have shown that MDCT has
excellent sensitivity and a high negative predictive value in detecting significant CAD.
The purpose of this study is to compare MDCT with nuclear stress testing for detecting CAD
in previously undiagnosed patients.
Inclusion Criteria:
- Referred for a clinical indicated stress SPECT MPI
- Adequate IV access in both arms
Exclusion Criteria:
- History of coronary angioplasty or stent placement
- History of coronary bypass surgery
- Angiographic history of flow-limiting CAD
- Documented history of elevated cardiac markers
- Documented history of injury or infarct on ECG
- Absence of sinus rhythm
- Current history of renal insufficiency
- Known allergy to contrast dye
- Pregnant
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