TY - JOUR
T1 - Silent coronary ischemia in a patient with critical limb ischemia
T2 - Diagnosis and management using coronary CT-derived fractional flow reserve (FFRCT)
AU - Krievins, Dainis
AU - Zellans, Edgars
AU - Latkovskis, Gustavs
AU - Zvaigzne, Ligita
AU - Stradins, Peteris
AU - Kumsars, Indulis
AU - Rumba, Roberts
AU - Erglis, Andrejs
N1 - Publisher Copyright:
© 2019 HMP Communications. All rights reserved.
PY - 2019/2
Y1 - 2019/2
N2 - Patients with symptomatic peripheral arterial disease are at high risk of premature cardiovascular death as a result of coronary artery disease. Coronary ischemia may be silent and unsuspected due to lack of chest pain symptoms, and clinical guidelines recommend preoperative cardiac testing only if the results have the potential to alter patient management. A new noninvasive diagnostic test, coronary CT-derived fractional flow reserve (FFRCT), can reliably identify ischemia-producing coronary stenosis and has the potential to alter patient management. This case example outlines the successful management of a patient with critical limb ischemia and femoral pseudoaneurysm who was found to have severe silent coronary ischemia by pre-operative coronary computed tomography angiogram and FFRCT assessment.
AB - Patients with symptomatic peripheral arterial disease are at high risk of premature cardiovascular death as a result of coronary artery disease. Coronary ischemia may be silent and unsuspected due to lack of chest pain symptoms, and clinical guidelines recommend preoperative cardiac testing only if the results have the potential to alter patient management. A new noninvasive diagnostic test, coronary CT-derived fractional flow reserve (FFRCT), can reliably identify ischemia-producing coronary stenosis and has the potential to alter patient management. This case example outlines the successful management of a patient with critical limb ischemia and femoral pseudoaneurysm who was found to have severe silent coronary ischemia by pre-operative coronary computed tomography angiogram and FFRCT assessment.
KW - Coronary CT angiography
KW - Coronary ischemia
KW - Critical limb ischemia
KW - Non-invasive fractional flow reserve
UR - http://www.scopus.com/inward/record.url?scp=85066159652&partnerID=8YFLogxK
UR - https://www.vasculardiseasemanagement.com/content/silent-coronary-ischemia-patient-critical-limb-ischemia-diagnosis-and-management-using
M3 - Article
AN - SCOPUS:85066159652
SN - 1553-8036
VL - 16
SP - E23-E27
JO - Vascular Disease Management
JF - Vascular Disease Management
IS - 2
ER -