At a glance
ClinicalIndex Comparison Record- ✓Prior adenosine or exercise stress SPECT exam with high likelihood of referral for invasive coronary angiography
- ✓Age older than 40 years
- ✓Able to comprehend and sign informed consent
- ✕Acute coronary syndromes (unstable angina, NSTEMI, STEMI)
- ✕Unstable clinical conditions including hemodynamic instability or arrhythmias
- ✕Known allergy to iodinated contrast agents
- ✕Atrial fibrillation
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Myocardial Stress Perfusion Imaging With Dual Source CT
In Brief
A clinical study evaluating Adenosine Stress Dual-source CTP for Coronary Artery Disease. Completed, enrolled 50 participants across 1 site.
Detailed Summary
The investigators propose a novel technique using dual source multidetector computed tomography (DSCT) where information on both coronary anatomy and myocardial perfusion is obtained in a single scan. The investigators hypothesize that a coronary CTA protocol can be devised to obtain resting myocardial perfusion, myocardial perfusion after stress, and coronary anatomy. Hence, one diagnostic test will be able to detect the presence of coronary plaque as well as assess the functional significance of a stenosis.
Study Details
Timeline
Interventions
Adenosine- continuous infusion at 140mcg/ kg/ min for 2.5 min; Iopamidol (IV contrast)- total dose of 150cc; Siemens SOMATOM Definition CT scanner (CT scan radiation) - effective radiation dose of approximately 13mSv (tube voltage 120kV, tube current 340mAs for one retrospectively gated cardiac CT with tube current modulation and two prospectively gated cardiac CTs on a Dual Source scanner) This is an observational trial, and all patients will undergo the Adenosine Stress Dual-source CTP procedure.