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Potential role of coronary computed tomography-angiography for guiding perioperative cardiac management for non-cardiac surgery

Heart International 2013;8(1):e1 https://doi.org/10.4081/hi.2013.e1

Abstract

Perioperative cardiac events can be a major consequence of surgery. The American College of Cardiology Foundation/American Heart Association has set out guidelines to aid physicians in identifying patients at the highest risk for these events. The guidelines do recommend for some patients to undergo noninvasive cardiac stress testing for further risk stratification, but their sensitivity and specificity for predicting cardiac events is not optimal. With more data emerging of the superior performance of computed coronary tomography angiography (CCTA) compared to noninvasive stress testing, CCTA could be more useful in risk stratification for these patients.

Keywords

Computed coronary tomography angiography, myocardial perfusion imaging, cardiac event.

Received

September 01, 2012

Accepted

November 28, 2012

Published Online

December 01, 2013

Correspondence

Amit K. Pahwa, Nelson 219, 600 North Wolfe Street, Baltimore, MD 21287, USA. E-mail: pahwa@jhmi.edu

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