Coronary artery disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Patients who give a full consent to this study. (2) angina (chest pain, documented ST-T change on electrocardiogram [ECG], or symptoms relieved by administration of nitroglycerin) (3) Asymptomatic patients with multiple coronary risk factors for CAD. (4) All patients perform ATP-stree dynamic myocardial CT perfusion, invasive coronary angiography and cardiac MRI within 30 days. no worsening angina symptom or cardiac events including revascularization therapy in the image session.
Exclusion criteria
Exclusion criteria: (1) acute/old myocardial infarction (clinical information) (2) cardiomyopathy (3) the left ventricular (LV) ejection fraction <20% (4) chronic atrial fibrillation (5) greater than first degree atrioventricular block (6) left complete bundle branch block (7) valvular heart disease (8) history of percutaneous coronary intervention and coronary artery bypass graft (9) unrecognized myocardial infarction assessed by late gadolinium enhancement (LGE) imaging.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes are the determination of the optimal scan timing of single-phase myocardial CTP imaging and the investigation of the diagnostic accuracy (sensitivity, specificity, positive and negative predictive value, accuracy) of the optimized single-phase myocardial CT perfusion imaging for detecting myocardial ischemia. | — |
Secondary
| Measure | Time frame |
|---|---|
| The peak CT attenuation and difference of time to peak between normal and ischemic segment are compared. | — |
Countries
Japan
Contacts
Ehime University Graduate School of Medicine. Department of Radiology