CARDIAC INX-CARDIAC CT

SUMMARY

1. Includes CT angiogram, coronary artery calcium scoring, assessment of ventricular structure and function. High negative-predictive value.2. Requires IV contrast and HR must be < 60/min and regular.
3. Indications: intermediate risk of CAD, congenital coronary abnormalities.

VARIATIONS
4. Coronary artery calcium scoring: doesn't require contrast, score > 400 indicates 3x risk for CAD.

5. Non-contrast CT to assess pericardial thickening.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].