coronary angiography

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Introduction

A test in which a contrast medium is injected into the coronary arteries in order to determine coronary artery anatomy, including the presence, severity, & location of any obstruction.

Indications

Contraindications

Clinical significance

Complications

* baseline incidence of subclinical hyperthyroidism in patients with ischemic heart disease undergoing coronary angiography high (7.2%) increased to 10% with iodine contrast[8]

Notes

More general terms

More specific terms

Additional terms

References

  1. nlmpubs.nlm.nih.gov/hstat/ahcpr/
  2. 2.0 2.1 2.2 2.3 2.4 2.5 Medical Knowledge Self Assessment Program (MKSAP) 11, 14, 16, 17, American College of Physicians, Philadelphia 1998, 2006, 2012, 2015
  3. Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 1247
  4. 4.0 4.1 Patel MR et al Low Diagnostic Yield of Elective Coronary Angiography N Engl J Med 2010, 362:886-895 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/20220183 <Internet> http://content.nejm.org/cgi/content/short/362/10/886
  5. 5.0 5.1 5.2 5.3 Fihn SD et al 2014 ACC/AHA/AATS/PCNA/SCAI/STS Focused Update of the Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart DiseaseA Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and the American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2014;() <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25070666 <Internet> http://content.onlinejacc.org/article.aspx?articleID=1891717
  6. 6.0 6.1 Herrmann HC FFR-Guided PCI Beats Optimal Medical Therapy for Severe Stable CAD NEJM Journal Watch. Sept 4, 2014 Massachusetts Medical Society (subscription needed) http://www.jwatch.org
    De Bruyne B et al. Fractional flow reserve-guided PCI for stable coronary artery disease. N Engl J Med 2014 Sep 1 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25176289 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMoa1408758
    Rade JJ. FFR-guided PCI - FAME may not be so fleeting after all. N Engl J Med 2014 Sep 1 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25176288 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMe1410336
  7. 7.0 7.1 Mohareb MM et al Validation of the Appropriate Use Criteria for Coronary Angiography: A Cohort Study. Ann Intern Med. Published online 10 March 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25751586 <Internet> http://annals.org/article.aspx?articleid=2194947
    Doll JA, Patel MR Self-Regulation in the Era of Big Data: Appropriate Use of Appropriate Use Criteria Ann Intern Med. Published online 10 March 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25751687 <Internet> http://annals.org/article.aspx?articleid=2194948
  8. 8.0 8.1 8.2 Bonelli N, Rossetto R, Castagno D Hyperthyroidism in patients with ischaemic heart disease after iodine load induced by coronary angiography: Long-term follow- up and influence of baseline thyroid functional status. Clin Endocrinol (Oxf). 2018 Feb;88(2):272-278. Epub 2017 Nov 20. PMID: https://www.ncbi.nlm.nih.gov/pubmed/29023926 https://www.medscape.com/viewarticle/892230
  9. JN Learning (Video) Angiography of the Left Main Coronary Artery JAMA Cardiology Published Online: June 28, 2023 https://edhub.ama-assn.org/jn-learning/video-player/18795091