What are the appropriate uses for coronary computed tomography angiography (CCTA)?

Updated: Dec 21, 2017
  • Author: Eugene C Lin, MD; Chief Editor: Eugene C Lin, MD  more...
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Answer

Answer

Based on the combined efforts of 9 specialty societies, [1] the following indications were rated as appropriate for CCTA:

  • Detection of CAD in symptomatic patients without known heart disease, either nonacute or acute presentations

  • Detection of CAD in patients with new-onset or newly diagnosed clinical heart failure and no prior CAD

  • Preoperative coronary assessment prior to noncoronary cardiac surgery

  • Patients with prior electrocardiographic exercise testing - Normal test with continued symptoms or intermediate risk Duke treadmill score

  • Patients with prior stress imaging procedures - Discordant electrocardiographic exercise and imaging results or equivocal stress imaging results

  • Evaluation of new or worsening symptoms in the setting of a past normal stress imaging study

  • Risk assessment post-revascularization - Symptomatic if post-coronary artery bypass grafting or asymptomatic with prior left main coronary stent of 3 mm or greater

  • Evaluation of cardiac structure and function in adult congenital heart disease

  • Evaluation of cardiac structure and function - Ventricular morphology and systolic function

  • Evaluation of cardiac structure and function - Intracardiac and extracardiac structures


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