CT Coronary Angiography

CT Coronary Angiography

Computer Tomography Coronary Angiography or also known as CTCA is a kind of imaging test that is employed to derive pictures of the coronary arteries. Another is a computed tomography or the CT scan that employs an intravenous contrast dye that will outline the blood vessels in the heart. This procedure assists in detection of such conditions as the blockages, narrowing or any other irregularity affecting the blood flow in the coronary arteries leading to conditions such as CAD. A common indication for CT Coronary Angiography is crown pain/g; Computed tomography coronary angiography is recommended for patients with risk factors for acute coronary syndrome, or chest pain of possible coronary origin.

CT Coronary Angiography is mainly applied in diagnosing manifestations suspected to be associated with CAD or other cardiac disorders. These symptoms include:

  • Chest Pain (Angina): Numbness, tingling, or cold Sweating Dizziness, fainting, weakness or light headedness Uncomfortable feelings such as indigestion, heartburn or the sensation of a ‘heart attack’ in the chest or lower chest area that may be accompanied by light-headedness, shortness of breath, sweating, nausea and sharp or pressing chest pain or discomfort, often described as pressure, tightness or squeezing in nature that
  • Shortness of Breath: Shortness of breath or trouble catching his/her breath, particularly when performing activities and exercises.
  • Palpitations: Palpitations can be defined as feelings that the heartbeat is too fast, too weak, or irregular, or too forceful.
  • Fatigue: Fatigue or weakness accompanied by no exercise or being unable to carry out prior activities.
  • Dizziness or Light-headedness: Chest pain or pressure, shortness of breath or breaking out in a cold sweat all of which are health problems that are often closely related to faintness or dizziness.
  • Unexplained Sweating: Sweating, especially if the patient is not a candidate for intense activity and which occurs without some provocation, with chest pain.
Symptoms Collapse Symptoms

You should consider a medical check-up and possibly a CT Coronary Angiography if you experience:

  • Persistent or Recurrent Chest Pain: If it happens during physical exercise, stress or during a rest.
  • Symptoms of a Heart Attack: For instance chest pain, difficulty in breathing, vomiting, and sweating.
  • Family History of Heart Disease: If you have had a previous diagnosed heart disease, high blood pressure, high cholesterol, smoking or Diabetes, especially if any of your close family members has had a coronary artery disease or a heart attack.
  • Abnormal Stress Test Results: Of course, if you have ever taken a stress test which showed that there could be problems with your heart.
  • Risk Factors for Heart Disease: Like hypertension, high lipid profile, diabetes, smoking or high body mass index alongside any of the aforesaid signs.
When to Go for a Medical Check-up Collapse When to Go for a Medical Check-up

CT Coronary Angiography is applied to determine the causes of one or several symptoms connected with coronary artery disease or other heart disorders. These causes include:

  • Atherosclerosis: The deposit of cholesterol, fat or any other substances called plaque on the walls of arteries and leading to the narrowing of arteries.
  • Coronary Artery Disease (CAD): Coronary artery disease that results in the narrowing or blockage of the coronary arteries and therefore reducing blood supply to the heart muscle.
  • Blood Clots: Blood clots that develop within the coronary arteries hence causing blockage of blood supply to the heart leading to what is known as heart attack.
  • Congenital Heart Defects: The narrowed coronary arteries are also congenital, or present at birth.
  • Coronary Artery Anomalies: Anomalies of the coronary circulation that are seen only occasionally and which may predispose to certain types of heart disease.
Causes Collapse Causes

CT Coronary Angiography involves the following diagnostic steps:

  • Patient Preparation: Preparing for the test, the patient should not eat for several hours prior the examination and may be prescribed drugs that will reduce the rate of heartbeat helping to get clearer images.
  • Intravenous Contrast Injection: A contrast dye is administered through a vein in the patients’ arms to help the coronary arteries to be clearly seen in the CT scans.
  • CT Scanning: The patient then stands on a platform, on which he/she is positioned on a moving table that transports him/her into the scanner. This device makes multiple X-ray scans from different directions, these scans are then assembled into accurate 3D images of the coronary arteries.
  • Image Analysis: A radiologist or cardiologist will then review the produced images trying to discern the presence or absence of blockages, narrowing or any other issue present in the coronary arteries.
  • Risk Assessment: The outcome of this CT Coronary Angiography helps in determining the extent of risk of getting afflicted with coronary artery disease and the subsequent course of action that the patient needs to follow.
Diagnosis Collapse Diagnosis

The treatment approach following CT Coronary Angiography depends on the findings:

  • Lifestyle Modifications: If it is diagnosed that a patient has mild CAD, an individual may be advised to take certain measures that will help him or her avoid the deterioration of the condition, which will include observing the diet, exercising regularly, avoiding smoking, and losing weight.
  • Medications: If the condition is severe enough, the patient may have to take drugs like statins, antiplatelet drugs, beta-blockers or ace inhibitors in order to regulate cholesterol levels, blood clot formation and high blood pressure respectively.
  • Coronary Angioplasty: If severely blocked arteries are detected then a procedure known as angioplasty may be advised. This can include the use of a balloon to open up the affected artery; In many cases the doctors place a stent once the artery has been widened to ensure that it remain open.
  • Coronary Artery Bypass Grafting (CABG): If, however, the arteries are almost blocked or several arteries are involved, bypass operation becomes more useful in order to bring fresh blood to the heart.
  • Ongoing Monitoring: Some of them include follow-up visits and special examinations in order to review the state of the health and to evaluate the success of the treatment.
Treatment Collapse Treatment

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