Emerging Role of Coronary CT in Non-ST Elevation Acute Coronary Syndrome
Abstract
NSTEACS is subset of ACS that may present with a wide degree of stenosis from normal vessels to severe obstruction. Identification of which population of NSTEACS that has normal vessels has attracted a great attention. Several trials on non-invasive imaging such as coronary CT have been largely investigated. Current available trials have showed that coronary CT is accurately identify significant stenosis in patients with NSTEACS thus can be used to rule out the disease and reduce the need and duration of unneeded antithrombotic. However, several limitations of the studies has to be taken into account when translating into clinical practice. Nevertheless, current evidence are showing promising results on the role of coronary CT in management of NSTEACS.
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References
2. Smulders MW, Kitsealer BLJH, Wildberger JE, Dagnelie PC, Rocca HPBL, Mingels AMA. Initial imaging guided strategy versus routine care in patients with non-ST segment elevation myocardial infarction. J Am Coll Cardiol. 2019;74:2466-77
3. Melki D, Lugnegard J, Alfredsson J, Lind S, Eggers KM, Lindahl B. Implications of introducting high sensitivity cardiac troponin T into clinical practice. J Am Coll Cardiol. 2015;65:1655-64
4. Collet JP, Thiele H, Barbato E, Bathelemy O, Bauersachs J, Bhatt DL. 2020 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST segment elevation. Eur Heart J. 2020;0:1-79
5. Zheng SL, Roddick AJ. Association of Aspirin use for primary prevention with cardiovascular events and bleeding events : A systematic review and meta analysis. JAMA. 2019;321(3):277-287
6. Achenbach S. Coronary CT angiography : moving up on the risk scale. J Am Coll Cardiol. 2020;75(5):464-6
7. Sullivan JO. Consider a CT angiogram before coronary angiogram in patients with NSTEACS. BMJ Evidence Based Medicine. 2020 Epub ahead of print: 2020. doi:10.1136/bmjebm-2020-111402
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