title: [Coronary CT scanning in routine clinical practice].
abstract: Cardiac CT scanning is the only non-invasive test capable of defining coronary anatomy and evaluating the degree and severity of coronary stenoses. We studied its application at La Tour hospital in Geneva: 108 patients had a cardiac CT scan in 2009. The main indication was the investigation of chest pain in patients with an intermediate risk profile. We confirmed that cardiac CT scanning tends to overestimate lesion severity, particularly when heavy calcification is present but has an excellent negative predictive value. Thanks to decreasing radiation exposure with new protocols and machines, cardiac CT scanning is fast becoming a useful option to evaluate coronary disease, especially when the pre-test probability is intermediate and/or functional testing is non conclusive.
authors.affiliation: Département cardiovasculaire, Hôpital de La Tour, Avenue J.-D. Maillard, 3 1217 Meyrin, Genève. coralie.blanche@hcuge.ch
authors.forename: C
authors.initials: C
authors.lastname: Blanche
authors.forename: A
authors.initials: A
authors.lastname: Rosset
authors.forename: P
authors.initials: P
authors.lastname: Hauser
authors.forename: P
authors.initials: P
authors.lastname: Urban
mesh_terms: D017023:Coronary Angiography / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed