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Coronary artery disease (CAD) affects over 200 million individuals globally, accounting for approximately 9 million deaths annually. Patients living with diabetes mellitus exhibit an up to fourfold increased risk of developing CAD compared to individuals without diabetes. Furthermore, CAD is responsible for 40 to 80 percent of the observed mortality rates among patients with type 2 diabetes.

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Impact of an institutional process change adopting end-systolic coronary CTA acquisition and automated dose selection on patient throughput and image quality.

J Cardiovasc Comput Tomogr

October 2024

Division of Cardiovascular Medicine, Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA; Division of Noninvasive Cardiovascular Imaging, Department of Radiology and Medical Imaging, University of Virginia School of Medicine, Charlottesville, VA, USA. Electronic address:

Article Synopsis
  • Guidelines suggest using ECG-triggered mid-diastolic CCTA after heart rate optimization for better image quality, but switching to prospective end-systolic acquisition may reduce motion artifacts and the need for beta-blockers.
  • An institutional change in January 2023 was made to adopt an algorithmic approach using prospective end-systolic acquisition without routine beta-blocker use, and image quality was assessed over three phases using a specific scoring model.
  • Results showed that after the process change, the median appointment time significantly decreased, indicating improved efficiency in performing CCTAs while maintaining image quality.
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Article Synopsis
  • The "2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery" provides updated recommendations for clinicians to evaluate and manage the cardiovascular health of adult patients undergoing noncardiac surgeries.
  • A comprehensive literature search was conducted from August 2022 to March 2023 to gather relevant clinical studies and reviews published in English, ensuring the guidelines are evidence-based.
  • The new guideline replaces the older 2014 version, incorporating updated findings and offering specific strategies for managing cardiovascular disease during the perioperative period, including medication and monitoring techniques.
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