Comparison of Cardiac Computed Tomography for the Detection of Coronary Artery Disease With Nuclear Stress Test
| Status: | Completed | 
|---|---|
| Conditions: | Peripheral Vascular Disease, Cardiology | 
| Therapuetic Areas: | Cardiology / Vascular Diseases | 
| Healthy: | No | 
| Age Range: | 18 - Any | 
| Updated: | 5/5/2014 | 
| Start Date: | March 2006 | 
| End Date: | December 2009 | 
| Contact: | Victor H Shin, MD | 
| Email: | vshinmd@gmail.com | 
| Phone: | 917-572-7939 | 
To compare the efficacy of 16-row multi-detector CT (MDCT) with standard myocardial
perfusion imaging in detecting coronary artery disease (CAD) in patients without a
previously established diagnosis of CAD.
			perfusion imaging in detecting coronary artery disease (CAD) in patients without a
previously established diagnosis of CAD.
Nuclear stress testing is currently the established non-invasive modality in detecting
flow-obstructing coronary artery disease (CAD).
Recently, multi-detector CT (MDCT) has emerged as a new modality that offers a non-invasive
means to directly visualize coronary anatomy and any CAD. Studies have shown that MDCT has
excellent sensitivity and a high negative predictive value in detecting significant CAD.
The purpose of this study is to compare MDCT with nuclear stress testing for detecting CAD
in previously undiagnosed patients.
flow-obstructing coronary artery disease (CAD).
Recently, multi-detector CT (MDCT) has emerged as a new modality that offers a non-invasive
means to directly visualize coronary anatomy and any CAD. Studies have shown that MDCT has
excellent sensitivity and a high negative predictive value in detecting significant CAD.
The purpose of this study is to compare MDCT with nuclear stress testing for detecting CAD
in previously undiagnosed patients.
Inclusion Criteria:
- Referred for a clinical indicated stress SPECT MPI
- Adequate IV access in both arms
Exclusion Criteria:
- History of coronary angioplasty or stent placement
- History of coronary bypass surgery
- Angiographic history of flow-limiting CAD
- Documented history of elevated cardiac markers
- Documented history of injury or infarct on ECG
- Absence of sinus rhythm
- Current history of renal insufficiency
- Known allergy to contrast dye
- Pregnant
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