Coronary computed tomographic imaging in women: An expert consensus statement from the Society of Cardiovascular Computed Tomography

Quynh A Truong , Rinehart S, Abbara S, Achenbach S, Berman DS, Bullock-Palmer R, Carrascosa P, Chinnaiyan KM, Dey D, Ferencik M, Fuechtner G, Hecht H, Jacobs JE, Lee SE, Leipsic J, Lin F, Meave A, Pugliese F, Sierra-Galan LM, Williams MC, Villines TC, Shaw LJ (2018)

Publication Type: Journal article

Publication year: 2018

Journal

Book Volume: 12

Pages Range: 451-466

Journal Issue: 6

DOI: 10.1016/j.jcct.2018.10.019

Abstract

This expert consensus statement from the Society of Cardiovascular Computed Tomography (SCCT) provides an evidence synthesis on the use of computed tomography (CT) imaging for diagnosis and risk stratification of coronary artery disease in women. From large patient and population cohorts of asymptomatic women, detection of any coronary artery calcium that identifies females with a 10-year atherosclerotic cardiovascular disease risk of >7.5% may more effectively triage women who may benefit from pharmacologic therapy. In addition to accurate detection of obstructive coronary artery disease (CAD), CT angiography (CTA) identifies nonobstructive atherosclerotic plaque extent and composition which is otherwise not detected by alternative stress testing modalities. Moreover, CTA has superior risk stratification when compared to stress testing in symptomatic women with stable chest pain (or equivalent) symptoms. For the evaluation of symptomatic women both in the emergency department and the outpatient setting, there is abundant evidence from large observational registries and multi-center randomized trials, that CT imaging is an effective procedure. Although radiation doses are far less for CT when compared to nuclear imaging, radiation dose reduction strategies should be applied in all women undergoing CT imaging. Effective and appropriate use of CT imaging can provide the means for improved detection of at-risk women and thereby focus preventive management resulting in long-term risk reduction and improved clinical outcomes.

Authors with CRIS profile

Involved external institutions

Deborah Heart and Lung Center United States (USA) (US) Beaumont Health System United States (USA) (US) Cornell University United States (USA) (US) British Heart Foundation (BHF) United Kingdom (GB) American British Cowdray (ABC) Medical Center Mexico (MX) Uniformed Services University United States (USA) (US) University of Texas Southwestern Medical Center (UT Southwestern) United States (USA) (US) Medizinische Universität Innsbruck Austria (AT) National Institute of Cardiology / Instituto Nacional de Cardiología Ignacio Chavez Mexico (MX) New York University (NYU) United States (USA) (US) Yonsei University Health System (YUHS) Korea, Republic of (KR) Cedars-Sinai Medical Center United States (USA) (US) The William Harvey Research Institute United Kingdom (GB) Providence Healthcare Canada (CA) Piedmont Healthcare United States (USA) (US) Icahn School of Medicine at Mount Sinai United States (USA) (US) Oregon Health and Science University (OSHU) United States (USA) (US) Diagnostico Maipú Argentina (AR)

How to cite

APA:

Quynh A Truong, ., Rinehart, S., Abbara, S., Achenbach, S., Berman, D.S., Bullock-Palmer, R.,... Shaw, L.J. (2018). Coronary computed tomographic imaging in women: An expert consensus statement from the Society of Cardiovascular Computed Tomography. Journal of Cardiovascular Computed Tomography, 12(6), 451-466. https://doi.org/10.1016/j.jcct.2018.10.019

MLA:

Quynh A Truong, , et al. "Coronary computed tomographic imaging in women: An expert consensus statement from the Society of Cardiovascular Computed Tomography." Journal of Cardiovascular Computed Tomography 12.6 (2018): 451-466.

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