Please use this identifier to cite or link to this item:
https://repository.monashhealth.org/monashhealthjspui/handle/1/36091
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Wong D.T.L. | en |
dc.contributor.author | Laggoune J. | en |
dc.contributor.author | Nerlekar N. | en |
dc.contributor.author | Munnur K. | en |
dc.contributor.author | Ko B.S.H. | en |
dc.contributor.author | Cameron J.D. | en |
dc.contributor.author | Seneviratne S. | en |
dc.date.accessioned | 2021-05-14T12:13:48Z | en |
dc.date.available | 2021-05-14T12:13:48Z | en |
dc.date.copyright | 2019 | en |
dc.date.created | 20190828 | en |
dc.date.issued | 2019-08-28 | en |
dc.identifier.citation | Journal of Geriatric Cardiology. 16 (7) (pp 507-513), 2019. Date of Publication: 2019. | en |
dc.identifier.issn | 1671-5411 | en |
dc.identifier.uri | https://repository.monashhealth.org/monashhealthjspui/handle/1/36091 | en |
dc.description.abstract | Background Coronary computed tomography angiography (CCTA) is often avoided in elderly patients due to a presumption that a high proportion of patients will have heavily calcified plaque limiting an accurate assessment. We sought to assess the image quality, luminal stenosis and utility of CCTA in elderly patients with suspected coronary artery disease (CAD) and stable chest pain. Methods Retrospective analysis of elderly patients (> 75 years) who underwent 320-detector row CCTA between 2012-2017 at MonashHeart. The CCTA was analysed for degree maximal coronary stenosis by CAD-RADS classification, image quality by a 5-point Likert score (1-poor, 2-adequate, 3-good, 4-very good, 5-excellent) and presence of artefact limiting interpretability. Results 1011 elderly patients (62% females, 78.8 +/- 3.3 years) were studied. Cardiovascular risk factor prevalence included: hypertension (65%), hyperlipidaemia (48%), diabetes (19%) and smoking (21%). The CCTA was evaluable in 68% of patients which included 52% with non-obstructive CAD (< 50% stenosis), 48% with obstructive CAD (> 50%) stenosis. Mean Likert score was 3.1 +/- 0.6 corresponding to good image quality. Of the 323 (32%) of patients with a non-interpretable CCTA, 80% were due to calcified plaque and 20% due to motion artefact. Male gender (P = 0.009), age (P = 0.02), excess motion (P < 0.01) and diabetes mellitus (P = 0.03) were associated with non-interpretable CCTA. Conclusion Although CCTA is a feasible non-invasive tool for assessment of elderly patients with stable chest pain, clinicians should still be cautious about referring elderly patients for CCTA. Patients who are male, diabetic and >78 years of age are significantly less likely to have interpretable scans.Copyright © 2019 JGC All rights reserved | en |
dc.language | en | en |
dc.language | English | en |
dc.publisher | Science Press (E-mail: yanmh@neigae.ac.cn) | en |
dc.relation.ispartof | Journal of Geriatric Cardiology | en |
dc.title | The utility of coronary computed tomography angiography in elderly patients. | en |
dc.type | Article | en |
dc.type.studyortrial | Observational study (cohort, case-control, cross sectional or survey) | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.11909/j.issn.1671-5411.2019.07.006 | en |
dc.publisher.place | China | en |
dc.identifier.source | 2002630523 | en |
dc.identifier.institution | (Laggoune, Nerlekar, Munnur, Ko, Cameron, Seneviratne, Wong) Monash Cardiovascular Research Centre, Monash University and MonashHeart, Monash Health, 246 Clayton Road, Clayton, Melbourne, VIC 3168, Australia (Wong) South Australian Health Medical Research Institute, Adelaide, Australia | en |
dc.description.address | D.T.L. Wong, Monash Cardiovascular Research Centre, Monash University and MonashHeart, Monash Health, 246 Clayton Road, Clayton, Melbourne, VIC 3168, Australia. E-mail: drdenniswong@yahoo.com.au | en |
dc.description.publicationstatus | Embase | en |
dc.rights.statement | Copyright 2019 Elsevier B.V., All rights reserved. | en |
dc.subect.keywords | Coronary artery calcium Coronary CT angiography Multi-detector row CT The elderly | en |
dc.identifier.authoremail | Wong D.T.L.; drdenniswong@yahoo.com.au | en |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | none | - |
item.openairetype | Article | - |
crisitem.author.dept | Cardiology (MonashHeart & Victorian Heart Institute) | - |
crisitem.author.dept | Cardiology (MonashHeart & Victorian Heart Institute) | - |
Appears in Collections: | Articles |
Items in Monash Health Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.