Circulation. Cardiovascular imaging
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Circ Cardiovasc Imaging · Mar 2015
Assessment of perioperative cardiac risk of patients undergoing noncardiac surgery using coronary computed tomographic angiography.
The appropriate indication for coronary computed tomographic angiography (CTA) as a part of preoperative evaluation has not been defined yet. We investigated the value of coronary CTA in patients undergoing noncardiac surgery. ⋯ Addition of coronary CTA to clinical risk improved perioperative risk stratification. Absence of significant coronary CTA findings conferred low PMCE risk with high specificity and negative predictive value regardless of clinical risk. Coronary CTA may improve perioperative risk stratification in patients undergoing noncardiac surgery.