Podcast
Questions and Answers
Which patient scenario would be most appropriate for a Coronary CTA to assess potential coronary blockage?
Which patient scenario would be most appropriate for a Coronary CTA to assess potential coronary blockage?
- A middle-aged patient with a family history of heart disease, diabetes, and recent onset of exertional chest pain. (correct)
- A patient with chronic kidney disease and consistently low blood pressure.
- A young, healthy individual with no risk factors experiencing occasional palpitations.
- An elderly patient with known advanced heart failure and severely limited mobility.
A patient with a family history of heart disease and presenting symptoms of chest pain had a negative ECG. What would be the next best step?
A patient with a family history of heart disease and presenting symptoms of chest pain had a negative ECG. What would be the next best step?
- Prescribe aspirin and discharge the patient.
- Order a Coronary CTA to assess for potential blockages. (correct)
- Reassure the patient that there is no cause for concern due to the negative ECG.
- Schedule a stress test.
Which risk factor, when present with chest pain, would suggest the highest utility for a Coronary CTA?
Which risk factor, when present with chest pain, would suggest the highest utility for a Coronary CTA?
- High stress job.
- Advanced age.
- Elevated cholesterol, family history of cardiac events, and diabetes. (correct)
- Sedentary lifestyle.
Why is there controversy surrounding the usage of Coronary CTA?
Why is there controversy surrounding the usage of Coronary CTA?
A known smoker with hypertension reports chest pain. What should be done next?
A known smoker with hypertension reports chest pain. What should be done next?
What is the primary goal of using Coronary CTA in patients with suspected coronary blockage?
What is the primary goal of using Coronary CTA in patients with suspected coronary blockage?
A patient with no known risk factors reports mild chest discomfort. What initial action would be MOST appropriate?
A patient with no known risk factors reports mild chest discomfort. What initial action would be MOST appropriate?
What is a limitation of relying solely on Coronary CTA results for patients with chest pain?
What is a limitation of relying solely on Coronary CTA results for patients with chest pain?
In deciding whether to order a Coronary CTA, what is the MOST important factor to consider?
In deciding whether to order a Coronary CTA, what is the MOST important factor to consider?
How does Coronary CTA help in assessing risk of cardiac events?
How does Coronary CTA help in assessing risk of cardiac events?
Flashcards
Coronary CTA
Coronary CTA
A CT scan of the heart used to detect narrowing or blockages in the coronary arteries, which can cause chest pain.
Risk factors for coronary blockage
Risk factors for coronary blockage
Family history of heart issues, diabetes, hypertension, smoking and high cholesterol.
Study Notes
- Coronary CTA is valuable for assessing if chest pain is due to coronary blockage, especially in at-risk individuals.
- Risk factors include family history of cardiac events, diabetes, high blood pressure, smoking, and elevated cholesterol.
- There is ongoing debate regarding the appropriate use cases for coronary CTA.
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