PDF(Pubmed)
Abstract：
Cardiac computed tomography (CT) was introduced in the late 1990\'s. Since then, an increasing body of evidence on its clinical applications has rapidly emerged. From an initial emphasis on its technical efficiency and diagnostic accuracy, research around cardiac CT has now evolved towards outcomes-based studies that provide information on prognosis, safety, and cost. Thanks to the strong and compelling data generated by large, randomized control trials, the scientific societies have endorsed cardiac CT as pivotal diagnostic test for the management of appropriately selected patients with acute and chronic coronary syndrome. This consensus document endorsed by the European Association of Cardiovascular Imaging is divided into two parts and aims to provide a summary of the current evidence and to give updated indications on the appropriate use of cardiac CT in different clinical scenarios. This first part focuses on the most established applications of cardiac CT from primary prevention in asymptomatic patients, to the evaluation of patients with chronic coronary syndrome, acute chest pain, and previous coronary revascularization.
摘要：
心脏计算机断层扫描（CT）于1990年代末引入。从那以后,越来越多的证据表明其临床应用迅速出现。从最初强调其技术效率和诊断准确性，围绕心脏CT的研究现在已经发展到基于结果的研究，提供预后信息，安全,和成本。由于大量产生的强大而令人信服的数据，随机对照试验，科学团体已认可心脏CT作为治疗适当选择的急性和慢性冠状动脉综合征患者的关键诊断测试。欧洲心血管成像协会认可的这份共识文件分为两部分，旨在提供当前证据的摘要，并为在不同临床情况下适当使用心脏CT提供最新的适应症。第一部分重点介绍无症状患者的一级预防中心脏CT最成熟的应用，对慢性冠脉综合征患者的评估，急性胸痛,和以前的冠状动脉血运重建。
