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Coronary CT angiography (CCTA) is increasingly used for ischemic heart disease diagnosis. The rising number of CCTA tests has led to a significant increase in the number of finding unexpected incidental extracardiac diseases.
The increasing utilization of coronary computed tomography (CT) angiography (CCTA) to diagnose and triage patients with suspected or known ischemic heart disease has led to a parallel increase in the frequency of incidental findings in the coronaries (nonatherosclerotic), noncoronary cardiac structures and noncardiac structures.
Studies have reported a prevalence of incidental findings on CCTA up to 40%. Most of these findings have no clinical relevance, but some have significant clinical implications in the care and prognosis of the patients.
We sought to assess the frequency of incidental findings on CCTA scans in consecutive studies performed in the past 5 years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adult patients who underwent CCTA | All adults (18 years of age and older0 who underwent CCTA to evaluate the coronary arteries in the past 5 years will have their CT scans reviewed for the presence of non coronary incidental findings. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CCTA (Review of the scans) | Diagnostic Test | Reviewing coronary scans done in the past 5 years looking for findings other than atherosclerotic coronary artery disease. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Non atherosclerotic coronary disease | Findings other than coronary atherosclerotic disease: coronary bridge, coronary dissection, coronary embolism, and coronary fistula. | BASELINE |
| Non coronary cardiac findings | Findings include valve calcifications, left atrial appendage thrombus, patent foramen ovale and septal defects, pericardial effusion, LV clots, cardiac tumors. | BASELINE |
| Non cardiac findings | Non cardiac findings include: a. major vascular abnormalities in the aorta and the pulmonary arteries, b. pulmonary disease: masses, lymph nodes, granulomas, and pleural effusion, and c. non pulmonary findings in the diaphragm and the hepatobiliary tree. | BASELINE |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wasfi Alghween, MD | Contact | +96265001000 | hammoudeh_ayman@yahoo.com | |
| Musa Saadeh | Contact | 065001000 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istishari Hospital | Amman | 11184 | Jordan |
The excel sheet of the incidental findings in the 2000 CCTA scans in possession of the investigators will be available to any physician upon request
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |