Sudden cardiac death CT scan: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Sudden cardiac death}} | {{Sudden cardiac death}} | ||
{{CMG}} {{AE}} {{Sara.Zand}} | {{CMG}} {{AE}} {{Sara.Zand}} {{EdzelCo}} | ||
==Overview== | ==Overview== | ||
[[Cardiac CT scan]] provides a higher spatial resolution and is helpful in the diagnosis of the causes of [[cardiac arrest]] by evaluation of [[left ventricular]] volumes, [[ejection fraction]],[[cardiac mass]], anomalous origin of [[coronary arteries]], [[coronary artery]] [[calcification]], [[pulmonary embolism]], and [[aorta dissection]]. | |||
==CT scan== | |||
[[Cardiac CT scan]] provides a higher spatial resolution and is helpful helpful in the diagnosis of the causes of [[cardiac arrest]] by evaluation of the following: <ref>{{cite journal|doi=10.1016/2Fj.radcr.2019.03.007}}</ref> | |||
[[Cardiac CT scan]] | |||
* [[LV volumes]] | * [[LV volumes]] | ||
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* [[Pulmonary embolism]] | * [[Pulmonary embolism]] | ||
* [[Aorta dissection]] | * [[Aorta dissection]] | ||
==2022 ESC Guidelines for the management of patients with ventricular arrythymias and the prevention of sudden cardiac death <ref name="pmid20646679">{{cite journal| author=van der Werf C, Hofman N, Tan HL, van Dessel PF, Alders M, van der Wal AC | display-authors=etal| title=Diagnostic yield in sudden unexplained death and aborted cardiac arrest in the young: the experience of a tertiary referral center in The Netherlands. | journal=Heart Rhythm | year= 2010 | volume= 7 | issue= 10 | pages= 1383-9 | pmid=20646679 | doi=10.1016/j.hrthm.2010.05.036 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20646679 }} </ref> <ref name="pmid14602442">{{cite journal| author=Behr E, Wood DA, Wright M, Syrris P, Sheppard MN, Casey A | display-authors=etal| title=Cardiological assessment of first-degree relatives in sudden arrhythmic death syndrome. | journal=Lancet | year= 2003 | volume= 362 | issue= 9394 | pages= 1457-9 | pmid=14602442 | doi=10.1016/s0140-6736(03)14692-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14602442 }} </ref> <ref name="pmid15998675">{{cite journal| author=Tan HL, Hofman N, van Langen IM, van der Wal AC, Wilde AA| title=Sudden unexplained death: heritability and diagnostic yield of cardiological and genetic examination in surviving relatives. | journal=Circulation | year= 2005 | volume= 112 | issue= 2 | pages= 207-13 | pmid=15998675 | doi=10.1161/CIRCULATIONAHA.104.522581 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15998675 }} </ref> <ref name="pmid18508782">{{cite journal| author=Behr ER, Dalageorgou C, Christiansen M, Syrris P, Hughes S, Tome Esteban MT | display-authors=etal| title=Sudden arrhythmic death syndrome: familial evaluation identifies inheritable heart disease in the majority of families. | journal=Eur Heart J | year= 2008 | volume= 29 | issue= 13 | pages= 1670-80 | pmid=18508782 | doi=10.1093/eurheartj/ehn219 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18508782 }} </ref> <ref name="pmid29544603">{{cite journal| author=Papadakis M, Papatheodorou E, Mellor G, Raju H, Bastiaenen R, Wijeyeratne Y | display-authors=etal| title=The Diagnostic Yield of Brugada Syndrome After Sudden Death With Normal Autopsy. | journal=J Am Coll Cardiol | year= 2018 | volume= 71 | issue= 11 | pages= 1204-1214 | pmid=29544603 | doi=10.1016/j.jacc.2018.01.031 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29544603 }} </ref> == | |||
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| colspan="1" style="text-align:center; background: Silver"|'''Recommendations for evaluation of sudden cardiac arrest survivors''''' | |||
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| colspan="1" style="text-align:center; background:LemonChiffon"|'''[[2022 ESC Guidelines Classification Scheme#Classification of Recommendations|Class IIa]] ''([[2022 ESC Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])''''' | |||
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* In [[SCA]] survivors, [[brain]]/ [[chest]] [[CT scan]] should be considered when [[patient]] characteristics, [[ECG]], and [[echocardiography]] are not consistent with a [[cardiac]] cause. | |||
|} | |||
==2017AHA/ACC/HRS Guideline for management of [[sudden cardiac arrest]] and [[ventricular arrhythmia]]== | ==2017AHA/ACC/HRS Guideline for management of [[sudden cardiac arrest]] and [[ventricular arrhythmia]]== | ||
<ref name="Al-KhatibStevenson2018">{{cite journal|last1=Al-Khatib|first1=Sana M.|last2=Stevenson|first2=William G.|last3=Ackerman|first3=Michael J.|last4=Bryant|first4=William J.|last5=Callans|first5=David J.|last6=Curtis|first6=Anne B.|last7=Deal|first7=Barbara J.|last8=Dickfeld|first8=Timm|last9=Field|first9=Michael E.|last10=Fonarow|first10=Gregg C.|last11=Gillis|first11=Anne M.|last12=Granger|first12=Christopher B.|last13=Hammill|first13=Stephen C.|last14=Hlatky|first14=Mark A.|last15=Joglar|first15=José A.|last16=Kay|first16=G. Neal|last17=Matlock|first17=Daniel D.|last18=Myerburg|first18=Robert J.|last19=Page|first19=Richard L.|title=2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death|journal=Circulation|volume=138|issue=13|year=2018|issn=0009-7322|doi=10.1161/CIR.0000000000000549}}</ref> | |||
{|class="wikitable" | {|class="wikitable" | ||
|- | |- | ||
| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])'' | | colspan="1" style="text-align:center; background:LightGreen"|'''[[ACC AHA Guidelines Classification Scheme#Classification of Recommendations|Class I]] ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C]])''''' | ||
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* [[Coronary angiography]] or coronary [[CT]] angiography is recommended in patients recovered from unexplained [[cardiac arrest]] suspected [[ischemic heart disease]] | * [[Coronary angiography]] or coronary [[CT]] angiography is recommended in patients recovered from unexplained [[cardiac arrest]] suspected [[ischemic heart disease]] | ||
|} | |} | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Latest revision as of 22:52, 23 July 2023
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Sudden cardiac death Microchapters |
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Sudden cardiac death CT scan On the Web |
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Risk calculators and risk factors for Sudden cardiac death CT scan |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Edzel Lorraine Co, DMD, MD[3]
Overview
Cardiac CT scan provides a higher spatial resolution and is helpful in the diagnosis of the causes of cardiac arrest by evaluation of left ventricular volumes, ejection fraction,cardiac mass, anomalous origin of coronary arteries, coronary artery calcification, pulmonary embolism, and aorta dissection.
CT scan
Cardiac CT scan provides a higher spatial resolution and is helpful helpful in the diagnosis of the causes of cardiac arrest by evaluation of the following: [1]
- LV volumes
- Ejection fraction
- Cardiac mass
- Anomalous origin of coronary arteries
- Coronary arteries calcification
- Pulmonary embolism
- Aorta dissection
2022 ESC Guidelines for the management of patients with ventricular arrythymias and the prevention of sudden cardiac death [2] [3] [4] [5] [6]
| Recommendations for evaluation of sudden cardiac arrest survivors |
| Class IIa (Level of Evidence: C) |
2017AHA/ACC/HRS Guideline for management of sudden cardiac arrest and ventricular arrhythmia
| Class I (Level of Evidence: C) |
|
References
- ↑ . doi:10.1016/2Fj.radcr.2019.03.007. Missing or empty
|title=(help) - ↑ van der Werf C, Hofman N, Tan HL, van Dessel PF, Alders M, van der Wal AC; et al. (2010). "Diagnostic yield in sudden unexplained death and aborted cardiac arrest in the young: the experience of a tertiary referral center in The Netherlands". Heart Rhythm. 7 (10): 1383–9. doi:10.1016/j.hrthm.2010.05.036. PMID 20646679.
- ↑ Behr E, Wood DA, Wright M, Syrris P, Sheppard MN, Casey A; et al. (2003). "Cardiological assessment of first-degree relatives in sudden arrhythmic death syndrome". Lancet. 362 (9394): 1457–9. doi:10.1016/s0140-6736(03)14692-2. PMID 14602442.
- ↑ Tan HL, Hofman N, van Langen IM, van der Wal AC, Wilde AA (2005). "Sudden unexplained death: heritability and diagnostic yield of cardiological and genetic examination in surviving relatives". Circulation. 112 (2): 207–13. doi:10.1161/CIRCULATIONAHA.104.522581. PMID 15998675.
- ↑ Behr ER, Dalageorgou C, Christiansen M, Syrris P, Hughes S, Tome Esteban MT; et al. (2008). "Sudden arrhythmic death syndrome: familial evaluation identifies inheritable heart disease in the majority of families". Eur Heart J. 29 (13): 1670–80. doi:10.1093/eurheartj/ehn219. PMID 18508782.
- ↑ Papadakis M, Papatheodorou E, Mellor G, Raju H, Bastiaenen R, Wijeyeratne Y; et al. (2018). "The Diagnostic Yield of Brugada Syndrome After Sudden Death With Normal Autopsy". J Am Coll Cardiol. 71 (11): 1204–1214. doi:10.1016/j.jacc.2018.01.031. PMID 29544603.
- ↑ Al-Khatib, Sana M.; Stevenson, William G.; Ackerman, Michael J.; Bryant, William J.; Callans, David J.; Curtis, Anne B.; Deal, Barbara J.; Dickfeld, Timm; Field, Michael E.; Fonarow, Gregg C.; Gillis, Anne M.; Granger, Christopher B.; Hammill, Stephen C.; Hlatky, Mark A.; Joglar, José A.; Kay, G. Neal; Matlock, Daniel D.; Myerburg, Robert J.; Page, Richard L. (2018). "2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death". Circulation. 138 (13). doi:10.1161/CIR.0000000000000549. ISSN 0009-7322.