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. 2014 Mar;22(3):124-5.
doi: 10.1007/s12471-013-0445-4.

Coronary CT angiography in the elderly

Affiliations

Coronary CT angiography in the elderly

R Nijveldt et al. Neth Heart J. 2014 Mar.

Abstract

People over 75 years of age represent a specific group of patients for which the clinician is often in doubt about what to do, whether additional diagnostic workup is helpful or a primary medical approach would suffice. However, this patient population is less prone to the long-term effects of radiation burden or contrast medium-induced nephropathy, and therefore it may be especially worthwhile to use advanced imaging techniques such as contrast-enhanced CT in these patients. The following cases illustrate two common diagnostic problems, in which coronary CT angiography decided the clinical course.

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Figures

Fig. 1
Fig. 1
Coronary CT angiography with multiplanar reconstructions of the two described patients. The coronaries of the 88-year-old female are displayed in panels a (right coronary artery), b (left anterior descending coronary artery) and c (left circumflex coronary artery). The lower panels demonstrate the right coronary artery (d), the left anterior descending coronary artery (e) as well as the circumflex coronary artery (f) with mixed plaque burden of the 75-year-old male

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