ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2006
Do risk factors influence the diagnostic accuracy of noninvasive coronary angiography with multislice computed tomography?
Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Anatomy and physiology in coronary artery disease imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019Article
- Rationale and design of the Measuring Athlete's Risk of Cardiovascular events (MARC) study : The role of coronary CT in the cardiovascular evaluation of middle-aged sportsmen.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2015Article
- Diagnostic accuracy of 64-slice computed tomography coronary angiography in a large population of patients without revascularisation: registry data on the comparison between male and female population.La Radiologia medica · 2012Article
- The effect of calcium score on the diagnostic accuracy of coronary computed tomography angiography.The international journal of cardiovascular imaging · 2011Article
- Diagnostic accuracy of 64-slice computed tomography coronary angiography in a large population of patients without revascularisation: registry data in NSTEMI acute coronary syndrome and influence of gender and risk factors.La Radiologia medica · 2011Article
- Diagnostic and prognostic testing to evaluate coronary artery disease in patients with diabetes mellitus.Reviews in endocrine & metabolic disorders · 2010Review
- Non-invasive cardiac imaging techniques and vascular tools for the assessment of cardiovascular disease in type 2 diabetes mellitus.Diabetologia · 2008Review
- Is there a gender difference in noninvasive coronary imaging? Multislice computed tomography for noninvasive detection of coronary stenoses.BMC cardiovascular disorders · 2008Article
- Negative exercise stress test Does it mean anything?The Libyan journal of medicine · 2007Article
- CT imaging of the heart.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2006Article
- Coronary computed tomographic angiography: competitive or complementary?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2006Article
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9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMultislice computed tomography (MSCT) is a relatively new noninvasive imaging modality in the evaluation of patients with suspected coronary artery disease (CAD). Whether diagnostic accuracy is influenced by gender or risk factors for CAD is currently unknown and was evaluated in this study. METHODS AND
resultsIn 197 patients (171 men and 26 women; mean age, 60 +/- 11 years) 16-slice MSCT was performed and compared with invasive coronary angiography at 2 different centers (Leiden and Rotterdam, The Netherlands). Diagnostic accuracy for the detection of 50% luminal narrowing or greater was calculated for all patients combined, as well as for patients with known versus suspected CAD. In addition, diagnostic accuracy was determined in men versus women and in different subsets of patients based on the presence of risk factors for CAD including hypertension, type 2 diabetes mellitus, hypercholesterolemia, and obesity. Only segments with a diameter of 2.0 mm or greater were evaluated, whereas smaller segments and stents were excluded from the analysis. Overall, a sensitivity and specificity of 99% and 86%, respectively, on a patient level were demonstrated, with corresponding positive and negative predictive values of 95% and 96%, respectively. Similar values were observed in the different subsets of patients, with no statistical differences.
conclusionThese findings confirm the high diagnostic accuracy of MSCT, regardless of gender or risk factors.
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