Cardiac CT angiography in current practice: An American society for preventive cardiology clinical practice statement✰
In this clinical practice statement, we represent a summary of the current evidence and clinical applications of cardiac computed tomography (CT) in evaluation of coronary artery disease (CAD), from an expert panel organized by the American Society for Preventive Cardiology (ASPC), and appraises the...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-03-01
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| Series: | American Journal of Preventive Cardiology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666667722000058 |
| _version_ | 1819079085698056192 |
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| author | Matthew J. Budoff Suvasini Lakshmanan Peter P. Toth Harvey S. Hecht Leslee J. Shaw David J. Maron Erin D. Michos Kim A. Williams Khurram Nasir Andrew D. Choi Kavitha Chinnaiyan James Min Michael Blaha |
| author_facet | Matthew J. Budoff Suvasini Lakshmanan Peter P. Toth Harvey S. Hecht Leslee J. Shaw David J. Maron Erin D. Michos Kim A. Williams Khurram Nasir Andrew D. Choi Kavitha Chinnaiyan James Min Michael Blaha |
| author_sort | Matthew J. Budoff |
| collection | DOAJ |
| description | In this clinical practice statement, we represent a summary of the current evidence and clinical applications of cardiac computed tomography (CT) in evaluation of coronary artery disease (CAD), from an expert panel organized by the American Society for Preventive Cardiology (ASPC), and appraises the current use and indications of cardiac CT in clinical practice. Cardiac CT is emerging as a front line non-invasive diagnostic test for CAD, with evidence supporting the clinical utility of cardiac CT in diagnosis and prevention. CCTA offers several advantages beyond other testing modalities, due to its ability to identify and characterize coronary stenosis severity and pathophysiological changes in coronary atherosclerosis and stenosis, aiding in early diagnosis, prognosis and management of CAD. This document further explores the emerging applications of CCTA based on functional assessment using CT derived fractional flow reserve, peri‑coronary inflammation and artificial intelligence (AI) that can provide personalized risk assessment and guide targeted treatment. We sought to provide an expert consensus based on the latest evidence and best available clinical practice guidelines regarding the role of CCTA as an essential tool in cardiovascular prevention – applicable to risk assessment and early diagnosis and management, noting potential areas for future investigation. |
| first_indexed | 2024-12-21T19:23:23Z |
| format | Article |
| id | doaj.art-c46a2c06e1004badb4b1b3c8e7bd882a |
| institution | Directory Open Access Journal |
| issn | 2666-6677 |
| language | English |
| last_indexed | 2024-12-21T19:23:23Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Preventive Cardiology |
| spelling | doaj.art-c46a2c06e1004badb4b1b3c8e7bd882a2022-12-21T18:52:54ZengElsevierAmerican Journal of Preventive Cardiology2666-66772022-03-019100318Cardiac CT angiography in current practice: An American society for preventive cardiology clinical practice statement✰Matthew J. Budoff0Suvasini Lakshmanan1Peter P. Toth2Harvey S. Hecht3Leslee J. Shaw4David J. Maron5Erin D. Michos6Kim A. Williams7Khurram Nasir8Andrew D. Choi9Kavitha Chinnaiyan10James Min11Michael Blaha12Division of Cardiology, Lundquist Institute at Harbor-UCLA, Torrance CA, USA; Corresponding author at: Lundquist Institute at Harbor-UCLA, 1124W Carson St, Torrance CA 90502.Division of Cardiology, Lundquist Institute at Harbor-UCLA, Torrance CA, USACGH Medical Center, Sterling, IL and Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, MDDepartment of Medicine, Mount Sinai Medical Center, New York, NYDepartment of Medicine (Cardiology), Icahn School of Medicine at Mount Sinai, New York, NY, USAStanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA USADivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MDDivision of Cardiology, Rush University Medical Center, Chicago ILCardiovascular Prevention and Wellness, Houston Methodist DeBakey Heart & Vascular Center, Houston, TXDivision of Cardiology and Department of Radiology, The George Washington University School of Medicine, Washington, DC, USADivision of Cardiology, Department of Medicine, Beaumont Hospital, Royal Oak, MIChief Executive Officer Cleerly Inc., New York, NYDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MDIn this clinical practice statement, we represent a summary of the current evidence and clinical applications of cardiac computed tomography (CT) in evaluation of coronary artery disease (CAD), from an expert panel organized by the American Society for Preventive Cardiology (ASPC), and appraises the current use and indications of cardiac CT in clinical practice. Cardiac CT is emerging as a front line non-invasive diagnostic test for CAD, with evidence supporting the clinical utility of cardiac CT in diagnosis and prevention. CCTA offers several advantages beyond other testing modalities, due to its ability to identify and characterize coronary stenosis severity and pathophysiological changes in coronary atherosclerosis and stenosis, aiding in early diagnosis, prognosis and management of CAD. This document further explores the emerging applications of CCTA based on functional assessment using CT derived fractional flow reserve, peri‑coronary inflammation and artificial intelligence (AI) that can provide personalized risk assessment and guide targeted treatment. We sought to provide an expert consensus based on the latest evidence and best available clinical practice guidelines regarding the role of CCTA as an essential tool in cardiovascular prevention – applicable to risk assessment and early diagnosis and management, noting potential areas for future investigation.http://www.sciencedirect.com/science/article/pii/S2666667722000058 |
| spellingShingle | Matthew J. Budoff Suvasini Lakshmanan Peter P. Toth Harvey S. Hecht Leslee J. Shaw David J. Maron Erin D. Michos Kim A. Williams Khurram Nasir Andrew D. Choi Kavitha Chinnaiyan James Min Michael Blaha Cardiac CT angiography in current practice: An American society for preventive cardiology clinical practice statement✰ American Journal of Preventive Cardiology |
| title | Cardiac CT angiography in current practice: An American society for preventive cardiology clinical practice statement✰ |
| title_full | Cardiac CT angiography in current practice: An American society for preventive cardiology clinical practice statement✰ |
| title_fullStr | Cardiac CT angiography in current practice: An American society for preventive cardiology clinical practice statement✰ |
| title_full_unstemmed | Cardiac CT angiography in current practice: An American society for preventive cardiology clinical practice statement✰ |
| title_short | Cardiac CT angiography in current practice: An American society for preventive cardiology clinical practice statement✰ |
| title_sort | cardiac ct angiography in current practice an american society for preventive cardiology clinical practice statement✰ |
| url | http://www.sciencedirect.com/science/article/pii/S2666667722000058 |
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