Diagnostic value of 256 MDCT in diagnosis of coronary disease in atrial fibrillation patients

Abstract

Objectives: To determine the diagnostic value of 256 MDCT in the diagnosis of coronary artery disease in patients with atrial fibrillation.Materials and methods: We prospectively enrolled 48 patients with atrial fibrillation who underwent 256 MDCT coronary CT angiography scan at Huu Nghi Hospital from 07/2020 to 07/2021 and evaluated diagnosis value of this technique using invasive coronary angiography as golden standard.Results: At patient-based analysis, sensitivity, specificity, positive predictive value and accuracy are 100%, 83.3% and 83.3%, respectively. At vessel-based analysis, sensitivity, specificity, positive predictive value, negative predictive value and accuracy are 98.4%, 81.7%, 80.3%, 98.5% and 88.9%, respectively. At segment-based analysis sensitivity, specificity, positive predictive value, negative predictive value and accuracy are 96.7%, 93.8%, 78.4%, 99.2 % and 94.4%, respectively. "Conclusion: 256 MDCT coronary angiography scan is a diagnostic method with high accuracy in diagnosing coronary artery disease in patients with atrial fibrillation.