Key result
CTA detects CAD in ~78% of patients presenting with acute chest pain.
Why the study?
The study was conducted to detect the frequency of coronary artery disease pathologies on CTA in patients presenting with chest pain.
Observational (n=258)
Yes
CTA is a reliable modality to detect that triple vessel CAD is highly prevalent in middle-aged males presenting with acute chest pain and is associated with severe left ventricular dysfunction.
May support CTA in acute chest pain evaluation; leaves open whether prevalence alters pathways in broader populations.
Coronary artery disease is the buildup of plaque in the arteries that supply oxygen-rich blood to your heart. Plaque causes a narrowing or blockage that could result in a heart attack. Objective: To detect frequency of pathologies (coronary artery disease) on CTA in patients with chest pain. Methods: It was a descriptive study and 258 patients with symptom of chest pain were selected from department of radiology, this study conducts from 16 March, 2021 to January 25, 2022, at Punjab institute of cardiology Lahore and Al-Razi Hospital Lahore. The data was analyzed using SPSS V-21. Results: This thorough study depicts a large number of patients belonging from middle age group ranging from 43-62 years old have the highest frequency of involvement of triple vessel disease. LV dysfunction was found out be present in severe in these middle-aged patients. Our study also helped ruling out that male gender had a higher frequency in prevalence of coronary heart disease and involvement of the triple vessel disease with severe lv dysfunction and that of female patients was far less in numbers and severity respectively. Conclusion: Triple vessel disease is more common in males than females and especially belonging to middle aged group and simultaneously more affected left ventricular function.
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Ahmed et al. (2022) conducted an observational in Acute Chest Pain (n=258). Computed Tomography Angiography (CTA) was evaluated on Frequency of coronary artery disease detected on CTA. Computed tomography angiography detected coronary artery disease in 77.5% of patients presenting with acute chest pain, with triple vessel disease being the most common pathology (45.7%).
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