CARDIAC CT SCANNING

DR Kevin RosenfeldWest Hertfordshire NHS Trust

Spire HarpendenSpire Bushey

CARDIAC CT

Coronary calcium scoring CT coronary angiography

Coronary calcium scoring

Assess calcium load in the coronary arteries

Indirectly measures the degree of atheroma in ca

Calcium score based on site and density

Risk of coronary artery disease

CT Coronary angiography

CTA and MRA • Peripheral,carotid,renal,intracranial

Cardiac- pulsation artefacts Spatial resolution Temporal resolution

NORMAL RCA

NORMAL LT CA

3D IMAGE OF HEART

CT Coronary angiography

Coronary artery disease

CABG evaluation

STENT EVALUATION

CT Coronary angiograms

Nice guidelines march 2010 Acute and stable chest pain

Chest pain of recent onset

Assessment and diagnosis of recent onset

chest pain or discomfort of suspected

cardiac origin

This guidance partially updates NICE

technology appraisal guidance 73 (published

November 2003)Issue date: March 2010

CARDIAC CT

How can I arrange for myself or my patient to have a scan?

Is it available in all hospitals? Cost?