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Coronary Stenoses Caused by Extensive Calcification – Hemodynamic Relevance?

Prof. Steven Dymarkowski, MD
Department Radiology, University Hospital Leuven, Belgium|2019-04-09
A comprehensive cardiac study, including CTA and myocardial dynamic refusion, was ordered to evaluate coronary stenoses in 70-year old patient.

A 70-year-old female patient, suffering from chest pain with both typical and atypical elements, presented herself to the hospital. The patient had an intermediate coronary risk profile and a history of coronary stenosis (70% in ramus intermedius) revealed in a conventional coronary angiography from 2010. A stress-ECG test was inconclusive. A comprehensive cardiac CT study, including Coronary CT angiography (CTA) and Stress Myocardial Dynamic Perfusion, was ordered to simultaneously evaluate both the coronary arteries and the myocardium.

The outcomes by Siemens Healthineers customers described herein are based on results that were achieved in the customer’s unique setting. Since there is no “typical” hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.