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Scientific paper - Original scientific paper
Influence of coronary computed tomography-angiography on patient management
Croatian Medical Journal, 53 (2012), 1; 4-10. https://doi.org/10.3325/cmj.2012.53.4
Jukić, Mladen; Pavić, Ladislav; Čerkez Habek, Jasna; Medaković, Petar; Delić Brkljačić, Diana; Brkljačić, Boris

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Jukić, M., Pavić, L., Čerkez Habek, J., Medaković, P., Delić Brkljačić, D. & Brkljačić, B. (2012). Influence of coronary computed tomography-angiography on patient management. Croatian Medical Journal, 53. (1), 4-10. doi: 10.3325/cmj.2012.53.4

Jukić, Mladen, et al. "Influence of coronary computed tomography-angiography on patient management." Croatian Medical Journal, vol. 53, no. 1, 2012, pp. 4-10. https://doi.org/10.3325/cmj.2012.53.4

Jukić, Mladen, Ladislav Pavić, Jasna Čerkez Habek, Petar Medaković, Diana Delić Brkljačić and Boris Brkljačić. "Influence of coronary computed tomography-angiography on patient management." Croatian Medical Journal 53, no. 1 (2012): 4-10. https://doi.org/10.3325/cmj.2012.53.4

Jukić, M., et al. (2012) 'Influence of coronary computed tomography-angiography on patient management', Croatian Medical Journal, 53(1), pp. 4-10. doi: 10.3325/cmj.2012.53.4

Jukić M, Pavić L, Čerkez Habek J, Medaković P, Delić Brkljačić D, Brkljačić B. Influence of coronary computed tomography-angiography on patient management. Croatian Medical Journal [Internet]. 2012 February 15 [cited 2024 August 29];53(1):4-10. doi: 10.3325/cmj.2012.53.4

M. Jukić, L. Pavić, J. Čerkez Habek, P. Medaković, D. Delić Brkljačić and B. Brkljačić, "Influence of coronary computed tomography-angiography on patient management", Croatian Medical Journal, vol. 53, no. 1, pp. 4-10, February 2012. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:340239. [Accessed: 29 August 2024]

Metadata
Title (english)Influence of coronary computed tomography-angiography on patient management
AuthorMladen Jukić
AuthorLadislav Pavić
AuthorJasna Čerkez Habek
AuthorPetar Medaković
AuthorDiana Delić Brkljačić
AuthorBoris Brkljačić
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
AIM: To evaluate how coronary computed tomography-angiography (CCTA) altered the management and treatment of patients with suspected coronary artery disease (CAD). ----- METHODS: During 2009, we studied 792 consecutive patients with suspected CAD. CCTA was performed in all patients using a 64-slice dual-source CT scanner and standard scanning protocols. ----- RESULTS: After CCTA, obstructive CAD was excluded in 666 patients. During the 12-month clinical follow-up, 98.6% of these patients were free of major adverse cardiac events. Also, the indication for cardiac catheterization (CC) was revoked in 77.2% of patients. It was also revoked in all patients with low Morise pre-test risk, 80.7% with intermediate risk, and 72.6% with high risk. Medical therapy was changed in 54.7% of patients with confirmed CAD. ----- CONCLUSION: CCTA can reliably exclude significant CAD not only in patients with low and moderate risk, but also in those with high risk. It can also reliably replace CC in the majority of elective patients regardless of risk stratification. It can also be useful in risk reclassification and optimization of medical therapy in patients with CAD.
Abstract (croatian)
Utjecaj koronarne CT angiografije na postupak s pacijentima ----- Cilj Utvrditi kako koronarna CT angiografija (eng, CCTA) utječe na postupak s pacijentima koji imaju koronarnu arterijsku bolest. ----- Postupci Za vrijeme 2009., ispitali smo 792 uzastopnih pacijenata kod kojih je postojala sumnja na koronarnu arterijsku bolest. CCTA je provedena s 64-slojnim CT skenerom s dvostrukim izvorom i prema standardnim protokolima za skeniranje. ----- Rezultati Nakon CCTA, opstruktivna koronarna arterijska bolest isključena je kod 666 pacijenata. Za vrijeme kliničkog praćenja u trajanju od 12 mjeseci, 98,6% ovih pacijenata nije doživjelo ozbiljnije neželjene kardiovaskularne incidente. Također, indikacija za kardijalnu kateterizaciju povučena je kod 77,2% pacijenata, kao i kod svih pacijenata s niskim Morise pre-testnim rizikom, kod 80,7% pacijenata s umjerenim rizikom i 72,6% s visokim rizikom. Terapija je promijenjena kod 54,7% pacijenata s potvrđenom koronarnom arterijskom bolešću. ----- Zaključak CCTA može pouzdano isključiti značajnu koronarnu arterijsku bolest ne samo kod pacijenata s niskim i umjerenim rizikom, nego i kod onih s visokim rizikom. Ona također može pouzdano zamijeniti kardijalnu kateterizaciju kod većine elektivnih pacijenata s koronarnom arterijskom bolešću.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCroatian Medical Journal
Numberingvol. 53, no. 1, pp. 4-10
p-ISSN0353-9504
DOIhttps://doi.org/10.3325/cmj.2012.53.4
URN:NBNurn:nbn:hr:105:340239
Publication2012-02-15
Document URLhttp://www.cmj.hr/2012/53/1/22351572.htm
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 07:57:51