Prevalence of extracardiac findings in the evaluation of ischemic heart disease by multidetector computed tomography

Title
Prevalence of extracardiac findings in the evaluation of ischemic heart disease by multidetector computed tomography
Author(s)
박종선조정환[조정환]최윤정[최윤정]조인호김영조신동구이상희
Keywords
CORONARY-ARTERY-DISEASE; CT ANGIOGRAPHY; METAANALYSIS
Issue Date
201310
Publisher
SCIENCE PRESS
Citation
JOURNAL OF GERIATRIC CARDIOLOGY, v.10, no.3, pp.242 - 246
Abstract
Objective Multidector computed tomography (MDCT) is now commonly used for the evaluation of coronary artery disease. Because MDCT images include many non-cardiac organs and the patient population evaluated is highly susceptible to extracardiac diseases, this study was designed to evaluate the prevalence of extracardiac findings in the MDCT evaluation of ischemic heart disease. Methods From March 2007 to March 2008, a total of six-hundred twenty patients, who underwent 64-slice MDCT evaluations for chest pain, or dyspnea, were enrolled in this study. Cardiac and non-cardiac findings were comprehensively evaluated by a radiologist. Results Enrolled patients included 306 men (49.4%), with a mean age of 66 years. Significant coronary artery stenosis was found in 41.6% of the patients. A total of 158 extracardiac findings were observed in 110 (17.7%) patients. Commonly involved extracardiac organs were lung (36.7%), hepatobiliary system (21.5%), thyroid (19.6%), kidney (10.8%), spine (9.7%) and breast (0.6%). Of those 110 patients, 50 (45.5%) patients underwent further diagnostic investigations. Malignant disease was detected in three (2.7%) patients (lung cancer, pancreatic cancer, and thyroid cancer). Conclusions Extracardiac findings are frequently present and should be a concern in the MDCT evaluation of chest pain syndrome.
URI
http://hdl.handle.net/YU.REPOSITORY/28837http://dx.doi.org/10.3969/j.issn.1671-5411.2013.03.006
ISSN
1671-5411
Appears in Collections:
의과대학 > 내과학교실 > Articles
의과대학 > 핵의학교실 > Articles
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