Download Clinical Applications of Cardiac CT by Tessa S. S. Genders, M. G. Myriam Hunink (auth.), Filippo PDF

By Tessa S. S. Genders, M. G. Myriam Hunink (auth.), Filippo Cademartiri, Giancarlo Casolo, Massimo Midiri (eds.)

During the prior few years, cardiac CT (CCT) has received an more and more very important position as a noninvasive imaging technique that permits evaluate of heart disorder from either the morphological and the useful viewpoint. it truly is speedy turning into a prime scientific device for the evaluate and follow-up of varied stipulations relating to the center and nice vessels and is offering important insights into the traditional historical past of atherosclerosis.

The fast advances in CCT know-how, the arrival of recent medical purposes, and the purchase of knowledge on prognostic worth are only a few of the purposes for the ebook of this re-creation of Clinical functions of Cardiac CT, little greater than three years after the 1st variation seemed. The textual content has been generally revised and up-to-date to mirror present wisdom and perform, and the constitution and structure of the tutorial content material have additionally been more advantageous. The imaging pursuits, semeiology, method, and medical functions of CCT are all coated intimately, and also suitable info is supplied on epidemiology, scientific review, and the position of alternative diagnostic modalities. This ebook will end up a useful software for radiologists and cardiologists alike.

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Approximately 40% of the population is at intermediate risk. A typical individual in this category would be a 55-year-old man with hypertension who is a nonsmoker and does not have hypercholesterolemia, diabetes, or a family history of coronary disease. In such individuals, additional testing may be helpful to aid in further risk stratification. For example, determining the CCS is recommended in the recent position statement of the European Society of Cardiology [122]. Such additional testing may allow reclassification of intermediate-risk patients into either low- or high-risk categories.

In contrast to the FRS and SCORE system, the Reynolds score evaluated and incorporated the risk factors of parental history of premature CHD and hsCRP. Recently, the Reynolds risk score, using male-specific equations, was applied to healthy nondiabetic men with good results [34]. Similar to women, the authors showed that the addition of hsCRP and parental history of MI before age 60 years improved global cardiovascular risk prediction and reclassification of risk as compared with the traditional FRS employed in the ATP III in a population of male health professionals enrolled in a clinical trial.

3 years after having undergone CCT, they clearly showed that plaques with positive remodeling and low CT attenuation were at particularly high risk for causing future cardiovascular events. However, it should be acknowledged that the actual clinical utility of CCT for risk stratification purposes is very uncertain, especially when considering extending the currently available findings to a screening situation. The above-named trials which demonstrated a prognostic value of CCT were all retrospective analyses of individuals in whom CT was performed for a clinical reason, so most likely the populations mainly consisted of symptomatic patients.

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