C

and Marco Rengo1



(1)
Department of Radiological Sciences, Oncology and Pathology, Sapienza University of Rome-Polo Pontino, Latina, Italy

(2)
Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, SC, USA

 




Calcium Score






  • Coronary artery calcium scoring using noncontrast CT is a clinically useful noninvasive estimate of coronary artery disease burden.


  • Calcium score is a predictor of cardiovascular events.



Table 1
Calcium score and risk of cardiovascular events






















Calcium score

Cardiovascular risk

0–100

Low

101–400

Intermediate

401–1,000

High

>1,000

Very high


Cardiac Index






  • Cardiac output normalized for body surface (l/min/m2).


Cardiac Resynchronization Therapy






  • Treatment for symptomatic heart failure (NYHA III–IV).


  • Positioning of a biventricular pacemaker in order to reduce ventricular dyssynchrony due left bundle branch block.


  • Pacing lateral LV wall (via coronary sinus) and septum (via RV).


  • Improves cardiac output.


  • CT: can be useful preimplantation to assess coronary sinus perviety.


Cardiomyopathies






  • Previously classified as diseases of unknown cause with primary myocardial involvement.


  • Actually reclassified according to predominant pathophysiological process since many genetic causes have been discovered.


  • WHO classification: (1) dilated cardiomyopathy; (2) hypertrophic cardiomyopathy; (3) restrictive cardiomyopathy; (4) arrhythmogenic right ventricular cardiomyopathy.


Catheter Ablation






  • Interventional technique aimed to destroy abnormal tissue. Used in atrial fibrillation to isolate arrhythmogenic trigger points.


  • Energy sources: (1) radio frequency; (2) cooled radio frequency; (3) cryoablation.


Chagas Disease






  • Myocarditis of parasitic origin caused by the Trypanosoma cruzi.


  • Acute disease: most common in children; presentation, fatal myocarditis.


  • Chronic disease: mostly asymptomatic; presentation, cardiomyopathy, megaesophagus, and megacolon.


Chiari Network






  • Highly mobile network of weblike strand attached to the tip of Eustachian valve or right atrium wall.


  • Differential diagnosis: vegetation or mass.


Chronic Coronary Occlusion






  • Completely occluded coronary artery for >3 months.


  • Age and length of occlusion are major determinants of PCI success.


Churg–Strauss Syndrome






  • Rare small-vessel vasculitis.


  • MR: (1) high-intensity signal in STIR sequences in acute stage; (2) LE involves subendocardial segments, unlike other myocarditis.


  • See also section “Myocarditis, Eosinophilic”.


Cine Sequence, High Temporal Resolution




Mar 18, 2016 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on C

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