Personalized Evaluation of Susptected Myocardial Ischemia

Launched by GØDSTRUP HOSPITAL · Nov 24, 2024

Keywords

ClinConnect Summary

Ischemic heart disease poses a significant burden on society and affects many Danes annually. With more than 300,000 citizens in Denmark living with cardiovascular disease, and more than 17,500 cardiovascular deaths annually, the need for effective diagnosis and treatment is crucial. Cardiac Computed Tomography Angiography (CCTA) has become an important tool in diagnosing arteriosclerotic obstructive coronary artery disease (CAD) in patients with typical or atypical chest pain, but the increasing use of this method requires a more efficient selection of patients before initial testing. Earl...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients with de novo chest pain referred on suspicion of stable ischemic CAD
• • Patients capable of providing written informed consent
• Exclusion Criteria:
• • Age \<30 years or \>75 years
• • Known ischemic heart disease, including previous PCI (with or without stent) and bypass surgery
• • Unstable angina pectoris at initial consultation
• • Severe COPD or asthma
• • Severe valvular disease
• * Absolute or relative contraindications for Cardiac CT:
• • allergy to iomeron
• • pregnant women, including women who are potentially pregnant or lactating
• • reduced kidney function with an estimated glomerular filtration rate \<40 ml/min
• • LVEF \<45%