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Coronary
CT Angiography
White-Wilson Medical Center is always concerned about early
detection and treatment of heart disease to prevent devastating or
life altering cardiac events. We are excited to offer Coronary CT
Angiography, the newest development in cardiac screening technology
which utilizes an ultra-fast, 16 images per second CT (Computer
Tomography) scanner, the most advanced and accurate technology
available.
What
is Computed Tomography?
Computed Tomography (CT) is one of the safest and most reliable
examination methods available. CT works with an x-ray system that
rotates around you, taking cross-section pictures of your body.
These pictures are then converted by a computer into a complete
picture, making a precise exam possible. CT can detect even the most
minor changes early on. Additionally, a high-speed CT scanner allows
us to look at parts of the body in a 3-dimensional format and to
"see" what is happening inside the body's organs and
tissues.
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What
is Coronary CT Angiography?
Coronary CT Angiography (CCTA) is an examination that uses CT
technology to visualize blood flow in coronary arteries, the blood
vessels that feed the heart muscle, as well as the great vessels
that feed the heart muscle, as well as the great vessels going to
and coming from the heart. By visualizing the coronary arteries,
doctors are able to determine if there is plaque present which can
put you at risk for having a heart attack. This plaque formation is
part of the disease process known as atherosclerosis.
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What
makes CCTA special?
CCTA can pick up signs of atherosclerosis that would not show up on
EKG or possibly even a stress test. White-Wilson Medical Center is
pleased to be able to offer the very latest in CT technology.
Coronary CTA is a procedure so advanced that only a handful of
medical practices are equipped with the knowledge, technology and
expertise to provide it.
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How
does it work?
Coronary CTA provides much of the same information that a
conventional cardiac catheterization does, but with reduced risks.
It is, however, not as precise. You will be given an injection of
contrast (an iodine-based, radio-opaque liquid that shows up on
x-ray) in the vein of your arm. Risks of bleeding or blood clot are
greatly reduced by not having to puncture an artery for the
injection. The CT scan is completed in less than a minute by the
high-speed capability of this newest technology. That means that you
will not have to lie flat for long periods of time like you would
for a conventional cardiac catheterization.
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What
is the process to get scheduled for a CCTA?
Your doctor may refer you to a CCTA test, or you may take advantage
of this cutting-edge technology to screen yourself for coronary
artery disease. Please call the Cardio-Pulmonary Department in
advance at (850) 863-8185 to talk with a nurse who will review your
medical history, medication, allergies and laboratory results. It
may be necessary to obtain previous medical records if you have had
any coronary procedures done in the past. You will be given
instructions about any necessary preparations prior to coming in
for your CCTA.
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What
happens on the day of the exam?
You will arrive about an hour before your CCTA appointment in order
to complete the necessary preparations. First, you will need to sign
a consent form, then a nurse will take a brief assessment of your
heart rate and blood pressure. An intravenous catheter (IV) will be
inserted to administer the injection of contrast before the test. If
your heart rate is greater than 70 beats per minute (BPM), you may
be injected with a beta-blocker, a quick-acting medication to lower
it. A slower heart rate produces images that are much more clear and
precise. Once your heart rate is within the desirable range, you
will be escorted to the Radiology Department for the scan.
The radiology technologists will administer the injection of
contrast, after which you may experience a feeling of heat for a few
seconds. They will position you on the scanning table and expertly
guide you through the examination, instructing you to hold your
breath while the high-speed scan is taking place. Once the
technicians are confident that the scans are complete, they will
remove the IV catheter. You will be released shortly after the exam
is completed.
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How
do I learn about the results?
Your CCTA results will be forwarded to your medical doctor, who can
discuss the results with you. If you are self-referred, you will
receive the results and have the opportunity to meet with Cheri
Penas, the Cardiology Nurse Practitioner, who will review the
results with you and discuss risk factors and steps that you may
need to take based upon your results.
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