Cardiovascular Imaging Program, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Cardiovascular Imaging Program, Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Harvard Medical School, Boston, MA, USA.
Division of Cardiology and Department of Radiology, The George Washington University School of Medicine, Washington, DC, USA.
J Cardiovasc Comput Tomogr. 2021 Jan-Feb;15(1):16-26. doi: 10.1016/j.jcct.2020.11.004. Epub 2020 Nov 13.
The COVID-19 pandemic has affected patient care deliver throughout the world, resulting in a greater emphasis on efficiently and safety. In this article, we discuss the experiences of several North American centers in utilizing cardiac CT during the pandemic. We also provide a case-based overview which highlights the advantages of cardiac CT in evaluating the following scenarios: (1) patients with possible myocardial injury versus myocardial infarction; (2) patients with acute chest pain; (3) patients with stable chest pain; (4) patients with possible intracardiac thrombus; (5) patients with valvular heart disease. For each scenario, we also provide an overview of various societies recommendations which have highlighted the use of cardiac CT during different phases of the COVID-19 pandemic. We hope that the advantages of cardiac CT that have been realized during the pandemic can help promote wider adoption of this technique and improved coverage and payment by payors.
新冠疫情对全球的患者医疗护理产生了影响，使得医疗服务更加注重效率和安全性。本文讨论了一些北美中心在疫情期间使用心脏 CT 的经验。我们还提供了一个基于病例的概述，强调了心脏 CT 在以下情况下评估的优势：（1）疑似心肌损伤与心肌梗死的患者；（2）急性胸痛的患者；（3）稳定型胸痛的患者；（4）可能存在心内血栓的患者；（5）心脏瓣膜疾病的患者。对于每种情况，我们还概述了各个学会的推荐意见，这些意见强调了在新冠疫情的不同阶段使用心脏 CT 的重要性。我们希望在疫情期间认识到的心脏 CT 的优势，能够有助于促进这项技术的更广泛应用，并提高支付方的覆盖范围和支付水平。
