Descrição do protocolo de angiotomografia das artérias coronárias para o estudo da doença arterial coronariana

Abstract

Coronary artery disease (CAD) is defined as the presence of atheromatous plaques in the coronary arteries resulting in myocardial infarction. Angio CT of the coronary arteries has gained space in relation to other diagnostic methods of CAD, since it is a non-invasive procedure and is of high prognostic and diagnostic value. OBJECTIVE: This study aims to describe the coronary artery angiotomography protocol for the study of CAD, addressing the protocol stages, the examination, the materials used and the professionals involved in the procedure. METHODOLOGY: An integrative review was carried out. The following descriptors were used: anatomy of the coronary arteries, tomography of the coronary arteries, coronary artery disease in databases such as BIREME, SCIELO, BVS. Of the 53 studies collected, only 14 were selected for the study. The inclusion criteria were: articles, periodicals, monographs, annals and abstracts in Portuguese, English and Spanish in the period from 2014 to 2018. RESULTS: 98% of the authors agree on the description of the protocol Angio CT of the coronary arteries and only 2% show indifferences, which is due to the divergences of the protocols used in hospitals. CONCLUSION: Angio-CT is characterized as a non-invasive procedure, with excellent sensitivity (82% -99%) and specificity (94% -98%). The protocol and materials involved in the coronary artery CT angiography procedure for the CAD study should be rigorously analyzed and performed for the acquisition of reliable and high accuracy results