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Admir Dedic, Gert-Jan ten Kate, Lisan A

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1 Coronary CT angiography outperforms calcium imaging in the triage of acute coronary syndrome 
Admir Dedic, Gert-Jan ten Kate, Lisan A. Neefjes, Alexia Rossi, Anoeshka Dharampal, Pleunie P.M. Rood, Tjebbe W. Galema, Carl Schultz, Mohamed Ouhlous, Adriaan Moelker, Pim J. de Feyter, Koen Nieman  International Journal of Cardiology  Volume 167, Issue 4, Pages (August 2013) DOI: /j.ijcard Copyright © 2012 Elsevier Ireland Ltd Terms and Conditions

2 Fig. 1 Clinical outcome in the study population.
International Journal of Cardiology  , DOI: ( /j.ijcard ) Copyright © 2012 Elsevier Ireland Ltd Terms and Conditions

3 Fig. 2 Coronary CTA performed at the emergency department in a 46year-old male with acute anginal chest pain. Initial risk stratification with GRACE risk score classified this patient as low risk (in-hospital probability of death 0.2%). A. High grade stenosis of the proximal LAD with post-stenotic dilatation. B–D. Axial views of the LAD (proximal, local and distal to the plaque). E. This lesion was confirmed on ICA (black arrowhead) and subsequent percutaneous coronary intervention was performed. International Journal of Cardiology  , DOI: ( /j.ijcard ) Copyright © 2012 Elsevier Ireland Ltd Terms and Conditions

4 Fig. 3 ROC-curve of the GRACE risk score (c-statistic 0.77 [95% CI 0.66–0.89]). Additional value of calcium scores (c-statistic 0.81 [0.71–0.91], p=0.52) and the degree of stenosis on coronary CTA (0, <20%, 20–50%, 50–70% and >70%) for identification of ACS (c-statistic 0.93 [95% CI 0.88–0.98], p>0.01). International Journal of Cardiology  , DOI: ( /j.ijcard ) Copyright © 2012 Elsevier Ireland Ltd Terms and Conditions

5 Fig. 4 A 41year-old woman presented with acute chest pain after exercise. Initial work-up at the emergency department revealed abnormal troponins (0.10). A, B. Coronary CTA showed no coronary artery disease. C, E. This was confirmed on ICA. D. Further diagnostic work-up with cardiac MRI showed left ventricular hypertrophy with myocardial fibrosis. International Journal of Cardiology  , DOI: ( /j.ijcard ) Copyright © 2012 Elsevier Ireland Ltd Terms and Conditions


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