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
Useful to assess SAM in HCM patient in 3-chamber view.Stay updated, free articles. Join our Telegram channel
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