Comprehensive cardiac assessment with multislice computed tomography: evaluation of left ventricular function and perfusion in addition to coronary anatomy in patients with previous myocardial infarction
Why the study?
Does a comprehensive 16-slice MSCT protocol accurately assess coronary artery stenoses, LV function, and perfusion compared to invasive angiography and SPECT in patients with previous myocardial infarction?
Population
21 patients with previous myocardial infarction
Comparison
16-slice multislice computed tomography protocol vs Invasive coronary angiography and gated…
Design
Cross-sectional
Authors
Discussion
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Implication
Supports comprehensive non-invasive assessment in prior MI; leaves open replacement of angiography or SPECT pending prospective trials.
Structured PICO
Does a comprehensive 16-slice MSCT protocol accurately assess coronary artery stenoses, LV function, and perfusion compared to invasive angiography and SPECT in patients with previous myocardial infarction?
P
Population
21 patients with previous myocardial infarction
I
Intervention
16-slice multislice computed tomography (MSCT) protocol
C
Comparator
Invasive coronary angiography (for coronary artery stenoses) and gated single-photon emission computed tomography (SPECT) (for LV function and perfusion)
O
Outcome
Diagnostic accuracy (sensitivity, specificity, and agreement) for detection of coronary artery stenoses, LV function, and perfusionsurrogate
16-slice MSCT provides an accurate, non-invasive, comprehensive assessment of coronary anatomy, LV function, and myocardial perfusion from a single dataset in patients with prior myocardial infarction.
Cite This Study
Henneman et al. (2006) studied this question.