CASE 187: MEDIC RADIOLOGY CASE 04: 170 CORONARY ARTERY CASES SCANNING by MSCT 640, Dr DƯƠNG PHI SƠN-Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

•      170 cases (79 male / 91 female) in our 2 weeks of setting up the new machine.

•      Angina  pectoris and risks of coronary artery disease.

•      Contrast agent: Ultravist, dose <1ml/kg

•      Radiation dosage <1-4 mSv (DLP x K-factor =DLP x 0.014)

•      Appropriate heart rate  < 70 p/min, if existing tachycardia can use Beta Blockers, Diltiazem... to slow down heart rate 

•      Appropriate blood pressure under 140/90 mmHg

•      Patients hold their breath during shooting.

 

CONCLUSIONS:

•     Image quality greatly improved (increased levels of accuracy).

•     Radiation dose reducing 50-90% and extremely low amount of contrast agent (competitive and beneficial to the patient).

•     Cardiac arrhythmia still could be scanning (more advantage than the older generation machines).

•     Shooting and find the cause of the chest pain emergency.