AIMS AND OBJECTIVES: Over decade multi-slice Computed tomography has become an important technique for diagnosing atherosclerosis and evaluating stenosis of the coronary arteries. It is of great help in a patient with suspected acute coronary syndrome presenting in the emergency deparment[1]. Coronary CT angiography (CTA) is an emerging noninvasive technique that can evaluate both calcified and noncalcified plaque[2]. The detection of noncalcified plaques is very important to be diagnosed early so initial therapeutic management can be started early[2]. Calcific plaques are more resistant to therapeutic...

STUDY DESIGN: Cross sectional Observational Study. TOTAL NUMBER OF CASES 245 patients (both male and female) with atypical chest pain. AGE RANGE 30-60 years. STUDY PERIOD The study was conducted from December 2012 to January 2018 at Rehman Medical Institute, Peshawar. EXCLUSION CRITERIA: Atrial fibrillation, poor breath-holding and allergy to contrast media. DATA ACQUISITION: Calcium scoring was conducted withCT Coronary angiography on 128 slices Multidetector CT scanner. Coronary angiography is feasible in patients with stable heart rhythm, able to breath-hold for 20 seconds. Coronary angiography...

In our study, 245 patients with zero CS were selected. Those patients with motion artifacts were completely excluded from our study. 115 (46.9%) patients had no disease with normal coronary vessels. 130 patients (53%) had an atherosclerotic disease 23 patients (9.3%) had significant coronary artery disease. 4.3% of the patient had obstructive coronary disease. 107 patients had nonsignificant coronary artery disease. SIGNIFICANT DISEASE A significant disease is considered when the coronary artery stenosis is more than 50% (Figures 3,4,5). 23 patients had significant coronary stenosis,...

Our main objective was to validate the fact that CT Coronary Angiography done for calcium scoring does not exclude noncalcified atheromatous plaques so the absence of CAC reduces but does not fully eliminate the occurrence of obstructive CAD. 9.3% of patients had severe CAD and needed perfusion scans to exclude Myocardial infarction as a cause of pain. Patients with more than 70% stenosis conventional angiography and angioplasty was required for further management. CT Coronary Angiography provides morphologic information about coronary veins and cardiac chambers, which...

Presenting Author: Dr. Sana Iqbal MBBS, FCPS (Radiology) Fellow cross sectional Imaging Rehman Medical Institute Peshawar Pakistan [email protected] Institution from which the work originated: Rehman Medical Institute and Rehman Medical College Peshawar 5-B/2 phase 5, Hayatabad Peshawar, Pakistan Disclosure: S. Alam; Peshawar/PK - nothing to disclose U. S. Umer; Peshawar/PK - nothing to disclose S. Gul; Peshawar/PK - nothing to disclose S. Ghulam Ghaus; Peshawar/PK - nothing to disclose S. Iqbal; Peshawar/PK - nothing to disclose A. Nawaz Khan; Peshawar/PK - nothing to disclose H....

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