A “normal” invasive coronary angiogram may not be normal

Abstract In clinical practice, a normal or near-normal invasive coronary angiogram is considered to be reliable evidence for the absence of hemodynamically significant coronary artery disease. We present 2 patients with near-normal coronary angiograms who had noninvasive evidence of vessel-specific...

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Bibliographic Details
Published in:Journal of cardiovascular computed tomography 2015-07, Vol.9 (4), p.264-266
Main Authors: Nørgaard, Bjarne L., MD, PhD, Hansson, Nicolaj C., MD, Christiansen, Evald H., MD, PhD, Kaltoft, Anne, MD, PhD, Bøtker, Hans Erik, MD, DMSci, Lassen, Jens F., MD, PhD, Mæng, Michael, MD, PhD, Jensen, Jesper M., MD, PhD
Format: Article
Language:English
Subjects:
Cardiovascular
Computed tomography
Coronary angiography
Coronary Angiography - methods
Coronary artery disease
Coronary Artery Disease - complications
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - physiopathology
Coronary plaque
False Negative Reactions
Fractional flow reserve
Fractional Flow Reserve, Myocardial
Humans
Male
Middle Aged
Myocardial Ischemia - diagnostic imaging
Myocardial Ischemia - etiology
Myocardial Ischemia - physiopathology
Radiographic Image Enhancement - methods
Reference Values
Reproducibility of Results
Sensitivity and Specificity
Tomography, X-Ray Computed - methods
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Summary:Abstract In clinical practice, a normal or near-normal invasive coronary angiogram is considered to be reliable evidence for the absence of hemodynamically significant coronary artery disease. We present 2 patients with near-normal coronary angiograms who had noninvasive evidence of vessel-specific ischemia confirmed by invasive measurement of fractional flow reserve.
ISSN:1934-5925
1876-861X
DOI:10.1016/j.jcct.2015.05.003