Characteristics | Value |
CTCA | |
Image quality | |
Poor | 50 (6.1%) |
Reasonable | 35 (4.2%) |
Good | 741 (89.7%) |
Technique | |
Flash | 749 |
Retrospective (spiral CT) | 31 |
Step-and-shoot | 46 |
Tube voltage, median | 120 |
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 use | 469 (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 | |
Conservative | 377 |
Medical therapy | 189 |
PCI | 180 |
CABG | 56 |
Other | 24 |
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.