Cardiac Care of Non-COVID-19 Patients During the SARS-CoV-2 Pandemic: The Pivotal Role of CCTA
Aim: The aim of this study is to evaluate the potential use of coronary CT angiography (CCTA) as the sole available non-invasive diagnostic technique for suspected coronary artery disease (CAD) during the coronavirus disease 2019 (COVID-19) pandemic causing limited access to the hospital facilities....
Guardado en:
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Frontiers Media S.A.
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/7cd387b3de1f4d81aeff83013f1776ac |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:7cd387b3de1f4d81aeff83013f1776ac |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:7cd387b3de1f4d81aeff83013f1776ac2021-11-30T18:11:56ZCardiac Care of Non-COVID-19 Patients During the SARS-CoV-2 Pandemic: The Pivotal Role of CCTA2297-055X10.3389/fcvm.2021.775115https://doaj.org/article/7cd387b3de1f4d81aeff83013f1776ac2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.775115/fullhttps://doaj.org/toc/2297-055XAim: The aim of this study is to evaluate the potential use of coronary CT angiography (CCTA) as the sole available non-invasive diagnostic technique for suspected coronary artery disease (CAD) during the coronavirus disease 2019 (COVID-19) pandemic causing limited access to the hospital facilities.Methods and Results: A consecutive cohort of patients with suspected stable CAD and clinical indication to non-invasive test was enrolled in a hub hospital in Milan, Italy, from March 9 to April 30, 2020. Outcome measures were obtained as follows: cardiac death, ST-elevation myocardial infarction (STEMI), non-ST-elevation myocardial infarction (NSTEMI), and unstable angina. All the changes in medical therapy following the result of CCTA were annotated. A total of 58 patients with a mean age of 64 ± 11 years (36 men and 22 women) were enrolled. CCTA showed no CAD in 14 patients (24.1%), non-obstructive CAD in 30 (51.7%) patients, and obstructive CAD in 14 (24.1%) patients. Invasive coronary angiography (ICA) was considered deferrable in 48 (82.8%) patients. No clinical events were recorded after a mean follow-up of 376.4 ± 32.1 days. Changes in the medical therapy were significantly more prevalent in patients with vs. those without CAD at CCTA.Conclusion: The results of the study confirm the capability of CCTA to safely defer ICA in the majority of symptomatic patients and to correctly identify those with critical coronary stenoses necessitating coronary revascularization. This characteristic could be really helpful especially when the hospital resources are limitedEdoardo ConteEdoardo ConteSaima MushtaqMaria Elisabetta ManciniAndrea AnnoniAlberto FormentiGiuseppe MuscogiuriMargherita Gaudenzi AsinelliCarlo GiganteCarlos ColletJeroen SonckJeroen SonckMarco GuglielmoAndrea BaggianoNicola CosentinoMarialessia DenoraMarta BelmonteCecilia AgalbatoAndrea Alessandro EspositoEmilio AssanelliAntonio L. BartorelliAntonio L. BartorelliMauro PepiGianluca PontoneDaniele AndreiniDaniele AndreiniFrontiers Media S.A.articleatherosclerosisCOVID-19cardiac CTchest paincoronary artery diseaseDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
atherosclerosis COVID-19 cardiac CT chest pain coronary artery disease Diseases of the circulatory (Cardiovascular) system RC666-701 |
| spellingShingle |
atherosclerosis COVID-19 cardiac CT chest pain coronary artery disease Diseases of the circulatory (Cardiovascular) system RC666-701 Edoardo Conte Edoardo Conte Saima Mushtaq Maria Elisabetta Mancini Andrea Annoni Alberto Formenti Giuseppe Muscogiuri Margherita Gaudenzi Asinelli Carlo Gigante Carlos Collet Jeroen Sonck Jeroen Sonck Marco Guglielmo Andrea Baggiano Nicola Cosentino Marialessia Denora Marta Belmonte Cecilia Agalbato Andrea Alessandro Esposito Emilio Assanelli Antonio L. Bartorelli Antonio L. Bartorelli Mauro Pepi Gianluca Pontone Daniele Andreini Daniele Andreini Cardiac Care of Non-COVID-19 Patients During the SARS-CoV-2 Pandemic: The Pivotal Role of CCTA |
| description |
Aim: The aim of this study is to evaluate the potential use of coronary CT angiography (CCTA) as the sole available non-invasive diagnostic technique for suspected coronary artery disease (CAD) during the coronavirus disease 2019 (COVID-19) pandemic causing limited access to the hospital facilities.Methods and Results: A consecutive cohort of patients with suspected stable CAD and clinical indication to non-invasive test was enrolled in a hub hospital in Milan, Italy, from March 9 to April 30, 2020. Outcome measures were obtained as follows: cardiac death, ST-elevation myocardial infarction (STEMI), non-ST-elevation myocardial infarction (NSTEMI), and unstable angina. All the changes in medical therapy following the result of CCTA were annotated. A total of 58 patients with a mean age of 64 ± 11 years (36 men and 22 women) were enrolled. CCTA showed no CAD in 14 patients (24.1%), non-obstructive CAD in 30 (51.7%) patients, and obstructive CAD in 14 (24.1%) patients. Invasive coronary angiography (ICA) was considered deferrable in 48 (82.8%) patients. No clinical events were recorded after a mean follow-up of 376.4 ± 32.1 days. Changes in the medical therapy were significantly more prevalent in patients with vs. those without CAD at CCTA.Conclusion: The results of the study confirm the capability of CCTA to safely defer ICA in the majority of symptomatic patients and to correctly identify those with critical coronary stenoses necessitating coronary revascularization. This characteristic could be really helpful especially when the hospital resources are limited |
| format |
article |
| author |
Edoardo Conte Edoardo Conte Saima Mushtaq Maria Elisabetta Mancini Andrea Annoni Alberto Formenti Giuseppe Muscogiuri Margherita Gaudenzi Asinelli Carlo Gigante Carlos Collet Jeroen Sonck Jeroen Sonck Marco Guglielmo Andrea Baggiano Nicola Cosentino Marialessia Denora Marta Belmonte Cecilia Agalbato Andrea Alessandro Esposito Emilio Assanelli Antonio L. Bartorelli Antonio L. Bartorelli Mauro Pepi Gianluca Pontone Daniele Andreini Daniele Andreini |
| author_facet |
Edoardo Conte Edoardo Conte Saima Mushtaq Maria Elisabetta Mancini Andrea Annoni Alberto Formenti Giuseppe Muscogiuri Margherita Gaudenzi Asinelli Carlo Gigante Carlos Collet Jeroen Sonck Jeroen Sonck Marco Guglielmo Andrea Baggiano Nicola Cosentino Marialessia Denora Marta Belmonte Cecilia Agalbato Andrea Alessandro Esposito Emilio Assanelli Antonio L. Bartorelli Antonio L. Bartorelli Mauro Pepi Gianluca Pontone Daniele Andreini Daniele Andreini |
| author_sort |
Edoardo Conte |
| title |
Cardiac Care of Non-COVID-19 Patients During the SARS-CoV-2 Pandemic: The Pivotal Role of CCTA |
| title_short |
Cardiac Care of Non-COVID-19 Patients During the SARS-CoV-2 Pandemic: The Pivotal Role of CCTA |
| title_full |
Cardiac Care of Non-COVID-19 Patients During the SARS-CoV-2 Pandemic: The Pivotal Role of CCTA |
| title_fullStr |
Cardiac Care of Non-COVID-19 Patients During the SARS-CoV-2 Pandemic: The Pivotal Role of CCTA |
| title_full_unstemmed |
Cardiac Care of Non-COVID-19 Patients During the SARS-CoV-2 Pandemic: The Pivotal Role of CCTA |
| title_sort |
cardiac care of non-covid-19 patients during the sars-cov-2 pandemic: the pivotal role of ccta |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/7cd387b3de1f4d81aeff83013f1776ac |
| work_keys_str_mv |
AT edoardoconte cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT edoardoconte cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT saimamushtaq cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT mariaelisabettamancini cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT andreaannoni cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT albertoformenti cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT giuseppemuscogiuri cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT margheritagaudenziasinelli cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT carlogigante cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT carloscollet cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT jeroensonck cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT jeroensonck cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT marcoguglielmo cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT andreabaggiano cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT nicolacosentino cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT marialessiadenora cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT martabelmonte cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT ceciliaagalbato cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT andreaalessandroesposito cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT emilioassanelli cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT antoniolbartorelli cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT antoniolbartorelli cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT mauropepi cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT gianlucapontone cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT danieleandreini cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta AT danieleandreini cardiaccareofnoncovid19patientsduringthesarscov2pandemicthepivotalroleofccta |
| _version_ |
1718406388828340224 |