Tag Archives: multi-detector computed tomography

MDCT coronary angiography (CTCA) has been shown to be highly accurate at detecting coronary artery disease (CAD) with more than 30 studies and several meta-analyses confirming excellent sensitivity and negative predictive value (NPV), when compared with invasive X-ray coronary angiography.1 This was confirmed in three multi-centre trials: Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography (ACCURACY) (n=230), Coronary Artery Evaluation Using 64-Row Multi-detector Computed Tomography Angiography (CORE-64) (n=291), and Meijboom et al. (n=360)2-4 (table 1). The positive predictive value

At age 16, he started to suffer with recurrent attacks of pre-syncope and a 24-hour tape documented runs of broad complex tachycardia for which he was commenced on sotalol and fitted with a single-chamber rate-responsive pacing system. Electrocardiogram (ECG) on admission showed an unusual pattern of right bundle branch block, extreme left axis deviation and first-degree heart block. Transthoracic echocardiogram demonstrated biventricular dilatation, moderately impaired left ventricular systolic function and prominent trabeculations, which raised the suspicion of left ventricular non-compaction (LVNC). Interestingly, his twin brother also had