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      Coronary artery calcification on chest computed tomography scan – Anaesthetic implications

      case-report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The significance of coronary artery calcification noted on noncontrast chest computed tomography (CT) scan is unknown. We report a case where coronary artery calcification on chest CT scan incidentally detected in an asymptomatic patient who was found to have significant coronary artery disease which resulted in perioperative morbidity.

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          2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.

          Philip Greenland, Joseph Alpert, George Beller … (2010)
          Article 0 comments Cited 268 times – based on 0 reviews     Review now
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            Coronary Calcium Score and Cardiovascular Risk

            Matthew Budoff, Philip Greenland, Michael Blaha … (2018)
            Coronary artery calcium (CAC) is a highly specific feature of coronary atherosclerosis. Based on single-center and multicenter clinical and population-based studies with short-term and long-term outcomes data (up to 15 years follow-up), CAC scoring has emerged as a widely available, consistent, and reproducible means of assessing risk of major cardiovascular outcomes, especially useful in asymptomatic people for planning primary prevention interventions such as statins and aspirin. CAC testing in asymptomatic populations is cost-effective across a broad range of baseline risk. This review summarizes evidence concerning CAC, including its pathobiology, modalities for detection, predictive role, use in prediction scoring algorithms, CAC progression, evidence that CAC changes the clinical approach to the patient and patient behavior, novel applications of CAC, future directions in scoring CAC scans, and new CAC guidelines.
            Article 0 comments Cited 239 times – based on 0 reviews     Review now
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              2016 SCCT/STR guidelines for coronary artery calcium scoring of noncontrast noncardiac chest CT scans: A report of the Society of Cardiovascular Computed Tomography and Society of Thoracic Radiology.

              Harvey Hecht, Paul P. Cronin, Michael Blaha … (2016)
              The Society of Cardiovascular Computed Tomography (SCCT) and the Society of Thoracic Radiology (STR) have jointly produced this document. Experts in this subject have been selected from both organizations to examine subject-specific data and write this guideline in partnership. A formal literature review, weighing the strength of evidence has been performed. When available, information from studies on cost was considered. Computed tomography (CT) acquisition, CAC scoring methodologies and clinical outcomes are the primary basis for the recommendations in this guideline. This guideline is intended to assist healthcare providers in clinical decision making. The recommendations reflect a consensus after a thorough review of the best available current scientific evidence and practice patterns of experts in the field and are intended to improve patient care while acknowledging that situations arise where additional information may be needed to better inform patient care.
              Article 0 comments Cited 125 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Indian J Anaesth
                Journal ID (iso-abbrev): Indian J Anaesth
                Journal ID (publisher-id): IJA
                Title: Indian Journal of Anaesthesia
                Publisher: Wolters Kluwer - Medknow (India )
                ISSN (Print): 0019-5049
                ISSN (Electronic): 0976-2817
                Publication date (Print): August 2019
                Volume: 63
                Issue: 8
                Pages: 663-666
                Affiliations
                [1]Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India
                Author notes
                Address for correspondence: Dr. Swapnil Y Parab, 13, Periyar, Anushaktinagar, Mumbai - 400 094, Maharashtra, India. E-mail: swapnil.parab@ 123456gmail.com
                Article
                Publisher ID: IJA-63-663
                DOI: 10.4103/ija.IJA_40_19
                PMC ID: 6691644
                SO-VID: 00941cbb-89ad-4568-9f41-9ad891b15fe7
                Copyright © Copyright: © 2019 Indian Journal of Anaesthesia
                License:

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

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                Subject: Case Report

                ScienceOpen disciplines: Anesthesiology & Pain management
                Keywords: anaesthesia,chest ct scan,coronary artery calcification
                Data availability:
                ScienceOpen disciplines: Anesthesiology & Pain management
                Keywords: anaesthesia, chest ct scan, coronary artery calcification

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