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Artificial Intelligence-Driven Advances in Coronary Calcium Scoring: Expanding Preventive Cardiology.
Cureus
November 2024
General Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Coronary artery disease (CAD) remains a leading global cause of morbidity and mortality, underscoring the need for effective cardiovascular risk stratification and preventive strategies. Coronary artery calcium (CAC) scoring, traditionally performed using electrocardiogram (ECG)-gated cardiac computed tomography (CT) scans, has been widely validated as a robust tool for assessing cardiovascular risk. However, its application has been largely limited to high-risk populations due to the costs, technical requirements, and limited accessibility of cardiac CT scans.
View Article and Find Full Text PDFA nomogram to distinguish noncardiac chest pain based on cardiopulmonary exercise testing in cardiology clinic.
BMC Med Inform Decis Mak
December 2024
Department of Cardiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Background: Psychological disorders, such as anxiety and depression, are considered to be one of the causes of noncardiac chest pain (NCCP). And these patients can be challenging to differentiate from coronary artery disease (CAD), leading to a considerable number of patients still undergoing angiography. We aim to develop a practical prediction model and nomogram using cardiopulmonary exercise testing (CPET), to help identify these patients.
View Article and Find Full Text PDFPredicting severe multivessel coronary artery disease to guide access strategy in patients undergoing invasive coronary angiography.
Coron Artery Dis
December 2024
Department of Cardiology, Austin Health.
Introduction: Given radial artery conduits are increasingly utilized for coronary artery bypass grafting (CABG), avoiding transradial access (TRA) for invasive coronary angiography (ICA) may benefit patients who ultimately undergo CABG. We sought to predict the likelihood of severe multivessel disease (MVD) before ICA to guide this decision.
Methods: This was a single-center study of 1485 patients with stable symptoms who underwent ICA.
Approaches to Pediatric Chest Pain: A Narrative Review.
J Clin Med
November 2024
Pediatric Clinic, Department of Medicine and Surgery, University of Parma, Via Gramsci, 14, 43125 Parma, Italy.
Chest pain in children and adolescents is a common reason for emergency department visits and referrals to pediatric cardiologists, often driven by parental concern about potential cardiac causes. However, the vast majority of pediatric chest pain cases are benign and non-cardiac in origin. This narrative review examines the etiology, evaluation, and management of pediatric chest pain, emphasizing the importance of a thorough clinical history and physical examination in distinguishing between benign and serious conditions.
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