Table 3

CTCA and ICA characteristics

CharacteristicsValue
CTCA
Image quality
 Poor50 (6.1%)
 Reasonable35 (4.2%)
 Good741 (89.7%)
Technique
 Flash749
 Retrospective (spiral CT)31
 Step-and-shoot46
Tube voltage, median120
Total DLP (mGy cm), mean, (95% CI)249 (219 to 279)
Effective dose (mSv), mean, (95% CI)*3.49 (3.07 to 3.90) or
6.48 (5.71 to 7.25)
Heart rate before scan (bpm), mean, (95% CI)61 (61 to 62)
Heart rate after scan (bpm), mean, (95 CI)57 (57 to 58)
Beta-blocker use469 (57%)
Agatston score
 Total score, median, (IQR)170 (351)
 Volume calcium score, median, (IQR)180 (310)
 Calcium mass score, median, (IQR)54 (110)
ICA
 Contrast volume (mL), mean, (95% CI)189 (183 to 194)
 Total DAP (Gyx cm2), mean, (95% CI)62.53 (58.39 to 66.67)
 Effective dose (mSv), mean, (95% CI)14.4 (13.4 to 15.3)
Clinical management
Conservative377
Medical therapy189
PCI180
CABG56
Other24
  • Other includes: cardiac valve or structural heart surgery (n=11), additional workup (n=10), referral for electrophysiology (n=2), contra-indication for PCI because of allergy (n=1).

  • *Effective dose calculated using conversion factor 0.014 mSv/mGy*cm and 0.026 mSv/mGy*cm.

  • CABG, coronary artery bypass grafting; CTCA, CT coronary angiography; DAP, dose area product; DLP, dose length product; ICA, invasive coronary angiography; PCI, percutaneous coronary intervention.