Erschienen in:
28.10.2023 | Cardiac PET, CT, and MRI (P Cremer, Section Editor)
Preventative Imaging with Coronary Computed Tomography Angiography
verfasst von:
Alexios S. Antonopoulos, Spyridon Simantiris
Erschienen in:
Current Cardiology Reports
|
Ausgabe 11/2023
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Abstract
Purpose of Review
Coronary computed tomography angiography (CCTA) is the diagnostic modality of choice for patients with stable chest pain. In this review, we scrutinize the evidence on the use of CCTA for the screening of asymptomatic patients.
Recent Findings
Clinical evidence suggests that CCTA imaging enhances cardiovascular risk stratification and prompts the timely initiation of preventive treatment leading to reduced risk of major adverse coronary events. Visualization of coronary plaques by CCTA also helps patients to comply with preventive medications. The presence of non-obstructive plaques and total plaque burden are prognostic for cardiovascular events. High-risk plaque features and pericoronary fat attenuation index, enrich the prognostic output of CCTA on top of anatomical information by capturing information on plaque vulnerability and coronary inflammatory burden.
Summary
Timely detection of atherosclerotic disease or coronary inflammation by CCTA can assist in the deployment of targeted preventive strategies and novel therapeutics to prevent cardiovascular disease.