ABC | Volume 113, Nº4, Outubro 2019
Artigo de Revisão Magalhães et al. Princípios de PMTC Arq Bras Cardiol. 2019; 113(4):758-767 Conclusão A angiografia coronariana por tomografia computadorizada combinada à avaliação de perfusão miocárdica pela tomografia sob estresse é uma modalidade segura e acurada para a pesquisa simultânea de obstruções coronarianas e suas repercussões no fluxo miocárdico regional. O impacto positivo desta abordagem encontra-se no valor agregado pela informação de carga isquêmica fornecido pela perfusão miocárdica pela TC, a ummétodo já consagrado de avaliação anatômica e estenoses coronarianas, com doses aceitáveis de radiação e de uso de contraste iodado. Contribuição dos autores Concepção e desenho da pesquisa e Revisão crítica do manuscrito quanto ao conteúdo intelectual importante: Magalhães TA, Cury RC, Schvartzman P; Redação do manuscrito: Magalhães TA, Cury RC, Cerci RJ, Parga Filho JR, Gottlieb I, Nacif MS, Masciarelli Pinto I, Rochitte CE, Vilas-Boas F, Schvartzman P. Potencial conflito de interesses Declaro não haver conflito de interesses pertinentes. Fontes de financiamento Opresente estudo não teve fontes de financiamento externas. Vinculação acadêmica Nãohávinculaçãodesteestudoaprogramasdepós‑graduação. Aprovação ética e consentimento informado Este artigo não contém estudos com humanos ou animais realizados por nenhum dos autores. 1. Sara L, Szarf G, Tachibana A, Shiozaki AA, Villa AV, Oliveira AC, et al. II Diretriz de Ressonancia Magnetica e Tomografia Computadorizada Cardiovascular da Sociedade Brasileira de Cardiologia e do Colegio Brasileiro de Radiologia. Arq Bras Cardiol. 2014;103(6 Suppl 3):1-86. 2. Miller JM, Rochitte CE, Dewey M, Arbab-Zadeh A, Niinuma H, Gottlieb I, et al. Diagnostic performance of coronary angiography by 64-row CT. The N Engl J Med. 2008;359(22):2324-36. 3. Sun Z, Ng KH. Multislice CT angiography in cardiac imaging. Part II: clinical applications in coronary artery disease. SingaporeMed J. 2010;51(4):282-9. 4. Rossi A, Merkus D, Klotz E, Mollet N, de Feyter PJ, Krestin GP. Stress myocardial perfusion: imaging with multidetector CT. Radiology. 2014;270(1):25-46. 5. MeijboomWB, Meijs MF, Schuijf JD, Cramer MJ, Mollet NR, van Mieghem CA, et al. Diagnostic accuracy of 64-slice computed tomography coronary angiography: a prospective, multicenter, multivendor study. J Am Coll Cardiol. 2008;52(25):2135-44. 6. Meijboom WB, Van Mieghem CA, van Pelt N, Weustink A, Pugliese F, Mollet NR, et al. Comprehensive assessment of coronary artery stenoses: computed tomography coronary angiography versus conventional coronary angiography and correlation with fractional flow reserve in patients with stable angina. J Am Coll Cardiol. 2008;52(8):636-43. 7. Sun Z, Ng KH. Multislice CT angiography in cardiac imaging. Part III: radiation risk and dose reduction. Singapore Med J. 2010;51(5):374-80. 8. Budoff MJ, Jollis JG, Dowe D, Min J, Group VCTS. Diagnostic accuracy of coronary artery calcium for obstructive disease: results from the ACCURACY trial. Int J Cardiol. 2013;166(2):505-8. 9. Min JK, Feignoux J, Treutenaere J, Laperche T, Sablayrolles J. The prognostic value of multidetector coronary CT angiography for the prediction of major adverse cardiovascular events: amulticenter observational cohort study. Int J Cardiovasc Imaging. 2010;26(6):721-8. 10. PakkalM,RajV,McCannGP.Non-invasive imaging incoronaryarterydisease including anatomical and functional evaluation of ischaemia and viability assessment. Br J Radiol. 2011;84 (Spec No 3):S280-95. 11. Shreibati JB, Baker LC, Hlatky MA. Association of coronary CT angiography or stress testing with subsequent utilization and spending among Medicare beneficiaries. JAMA. 2011;306(19):2128-36. 12. Hannan EL, Cozzens K, Samadashvili Z, Walford G, Jacobs AK, Holmes DR Jr, et al. Appropriateness of coronary revascularization for patients without acute coronary syndromes. J Am Coll Cardiol. 2012;59(21):1870-6. 13. Summers MR, Patel MR. Appropriateness of percutaneous coronary intervention: a review. Curr Cardiol Rep. 2013;15(7):379. 14. Bradley SM, Spertus JA, Kennedy KF, Nallamothu BK, Chan PS, Patel MR, et al. Patient selection for diagnostic coronary angiography and hospital-level percutaneous coronary intervention appropriateness: insights from the National Cardiovascular Data Registry. JAMA Int Med.2014;14;174(10):1630-9. 15. Iwasaki K. Myocardial ischemia is a key factor in the management of stable coronary artery disease. World J Cardiol. 2014;6(4):130-9. 16. Di Carli MF, Dorbala S, Curillova Z, Kwong RJ, Goldhaber SZ, Rybicki FJ, et al. Relationship betweenCT coronary angiography and stress perfusion imaging in patients with suspected ischemic heart disease assessed by integrated PET-CT imaging. J Nucl Cardiol. 2007;14(6):799-809. 17. Bansal M, Jeffriess L, Leano R, Mundy J, Marwick TH. Assessment of myocardial viability at dobutamine echocardiography by deformation analysisusingtissuevelocityandspeckle-tracking. JACCCardiovasc imaging. 2010;3(2):121-31. 18. Bonow RO, Maurer G, Lee KL, Holly TA, Binkley PF, Desvigne-Nickens P, et al. Myocardial viability and survival in ischemic left ventricular dysfunction. N Engl J Med. 2011;364(17):1617-25. 19. Cury RC, Nieman K, Shapiro MD, Butler J, Nomura CH, Ferencik M, et al. Comprehensive assessment of myocardial perfusion defects, regional wall motion, and left ventricular function by using 64-section multidetector CT. Radiology. 2008;248(2):466-75. 20. Cury RC, Magalhaes TA, Borges AC, Shiozaki AA, Lemos PA, Junior JS, et al. Dipyridamole stress and rest myocardial perfusion by 64-detector row computed tomography in patients with suspected coronary artery disease. Am J Cardiol. 2010;106(3):310-5. Referências 765
Made with FlippingBook
RkJQdWJsaXNoZXIy MjM4Mjg=