Skip to main content
Top
Published in: Netherlands Heart Journal 3/2014

Open Access 01-03-2014 | Case Report

Coronary CT angiography in the elderly

Authors: R. Nijveldt, T. Pflederer, S. Achenbach

Published in: Netherlands Heart Journal | Issue 3/2014

Login to get access

Abstract

People over 75 years of age represent a specific group of patients for which the clinician is often in doubt about what to do, whether additional diagnostic workup is helpful or a primary medical approach would suffice. However, this patient population is less prone to the long-term effects of radiation burden or contrast medium-induced nephropathy, and therefore it may be especially worthwhile to use advanced imaging techniques such as contrast-enhanced CT in these patients. The following cases illustrate two common diagnostic problems, in which coronary CT angiography decided the clinical course.
Literature
3.
go back to reference Hendel RC, Patel MR, Kramer CM, et al. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging: a report of the American college of cardiology foundation quality strategic directions committee appropriateness criteria working group, American college of radiology, society of cardiovascular computed tomography, society for cardiovascular magnetic resonance, American society of nuclear cardiology, North American society for cardiac imaging, society for cardiovascular angiography and interventions, and society of interventional radiology. J Am Coll Cardiol. 2006;48:1475–97.PubMedCrossRef Hendel RC, Patel MR, Kramer CM, et al. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging: a report of the American college of cardiology foundation quality strategic directions committee appropriateness criteria working group, American college of radiology, society of cardiovascular computed tomography, society for cardiovascular magnetic resonance, American society of nuclear cardiology, North American society for cardiac imaging, society for cardiovascular angiography and interventions, and society of interventional radiology. J Am Coll Cardiol. 2006;48:1475–97.PubMedCrossRef
4.
go back to reference Murphy MK, Brady TJ, Nasir K, et al. Appropriateness and utilization of cardiac CT: implications for development of future criteria. J Nucl Cardiol. 2010;17:881–9.PubMedCrossRef Murphy MK, Brady TJ, Nasir K, et al. Appropriateness and utilization of cardiac CT: implications for development of future criteria. J Nucl Cardiol. 2010;17:881–9.PubMedCrossRef
5.
go back to reference Weustink AC, de Feyter PJ. The role of multi-slice computed tomography in stable angina management: a current perspective. Neth Heart J. 2011;19:336–43.PubMedCentralPubMedCrossRef Weustink AC, de Feyter PJ. The role of multi-slice computed tomography in stable angina management: a current perspective. Neth Heart J. 2011;19:336–43.PubMedCentralPubMedCrossRef
Metadata
Title
Coronary CT angiography in the elderly
Authors
R. Nijveldt
T. Pflederer
S. Achenbach
Publication date
01-03-2014
Publisher
Bohn Stafleu van Loghum
Published in
Netherlands Heart Journal / Issue 3/2014
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-013-0445-4

Other articles of this Issue 3/2014

Netherlands Heart Journal 3/2014 Go to the issue

Rhythm Puzzle - Question

Should you be worried?