CT-scan, coronary angiogram and intravascular ultrasound for subclinical coronary artery disease detection

Abstract

The absence of any chest discomfort and/or dyspnea on exercise may sometimes be misleading in coronary artery disease detection. Computed tomography (CT-scan) coronary imaging can detect early subclinical coronary disease, which might either impact on prevention and treatment of high-risk individuals or be helpful to assess progression of coronary artery disease. The case we present shows CT-scan superiority in isolated coronary artery disease evidence, when compared to conventional coronary angiogram, successfully confirmed by intravascular ultrasound (IVUS) examination.