{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T14:11:04Z","timestamp":1709215864466},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T00:00:00Z","timestamp":1681948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the first 9\u2009months of a newly established computed tomography coronary angiogram (CTCA) over the period of the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of the first 9\u2009months of a CT\u2010CA program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Data were collected for the period of June 2020 to March 2021. Information reviewed included demographics, risk factors, renal function, technical factors and outcomes including Calcium Score and Coronary Artery Disease Reporting and Data System (CAD\u2010RADS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A single Rural Referral Hospital in regional New South Wales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Ninety\u2010six CTCAs were reviewed. Ages ranged from 29 to 81\u2009years. 37 (39%) male, 59 (61%) female. 15 (15.6%) identified as Aboriginal and\/or Torres Strait Islander.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Objective Outcomes<\/jats:title><jats:p>CTCA is a viable alternative to invasive coronary angiogram in appropriate populations for regional areas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010eight (91.6%) were considered technically satisfactory. Mean heart rate was 57 beats per minute with a range of 108. Cardiovascular risk factors included hypertension, dyslipidemia, smoking status, family history and diabetes mellitus. Of patients with CAD\u2010RADS scores 3 or 4 who underwent subsequent invasive coronary angiogram (ICA), 80% were determined to have operator\u2010defined significant stenosis. Significant cardiac and non\u2010cardiac findings were extensive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>CTCA is a safe and efficacious imaging modality for low\u2010 to moderate\u2010risk chest pain patients. There was acceptable diagnostic accuracy and the investigation was safe.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12987","type":"journal-article","created":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T11:50:14Z","timestamp":1681991414000},"page":"770-775","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Computed tomography Coronary angiography in rural referral hospitals: A single\u2010Centre experience"],"prefix":"10.1111","volume":"31","author":[{"given":"Michael","family":"McLucas","sequence":"first","affiliation":[{"name":"Tamworth Rural Referral Hospital  Tamworth New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"King","sequence":"additional","affiliation":[{"name":"Tamworth Rural Referral Hospital  Tamworth New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"McGee","sequence":"additional","affiliation":[{"name":"Tamworth Rural Referral Hospital  Tamworth New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2016.06.1213"},{"key":"e_1_2_10_3_1","unstructured":"HoffmannU ManningWJ.Cardiac imaging with computed tomography and magnetic resonance in the adult. UpToDate: Wolters Kluwer;2020[updated 2021 May; cited 2020 Jan 29]. Available from:https:\/\/www.uptodate.com.acs.hcn.com.au\/contents\/cardiac\u2010imaging\u2010with\u2010computed\u2010tomography\u2010and\u2010magnetic\u2010resonance\u2010in\u2010the\u2010adult"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa575"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2017.05.130"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2021.03.009"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1805971"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.024360"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1415516"},{"key":"e_1_2_10_10_1","first-page":"260","article-title":"Imaging for cardiac disease: a practical guide for general practitioners","volume":"43","author":"Storey P","year":"2014","journal-title":"Aust Fam Physician"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja15.00333"},{"key":"e_1_2_10_12_1","unstructured":"Tamworth tomorrow 2016\u20132021. Tamworth Tamworth Regional Council;2021. p.24."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/02841851.2010.492792"},{"key":"e_1_2_10_14_1","volume-title":"Computed tomography coronary angiography (CTCA) in coronary artery disease: where are we today?","author":"Bura P","year":"2020"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-010-0841-y"},{"issue":"2","key":"e_1_2_10_16_1","first-page":"174","article-title":"An overview of PCI in the very elderly","volume":"12","author":"Shanmugam VB","year":"2015","journal-title":"J Geriatr Cardiol"},{"key":"#cr-split#-e_1_2_10_17_1.1","unstructured":"Australian Institute of Health and Welfare.Profile of Indigenous Australians.2019[updated 2021 Jan 8"},{"key":"#cr-split#-e_1_2_10_17_1.2","unstructured":"cited 2022 April 09]. Available from:https:\/\/www.aihw.gov.au\/reports\/australias\u2010welfare\/profile\u2010of\u2010indigenous\u2010australians"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja18.00345"},{"key":"e_1_2_10_19_1","unstructured":"Indigenous Australians' access to health services. Canberra Australian Institute of Health and Welfare;2016. Contract No.: 199."},{"key":"e_1_2_10_20_1","unstructured":"Organisation ANSaT.Radiation: what is radiation?Sydney Australian Nuclear Science and Technology Organisation;2021[cited 2022 April 09]. Available from:https:\/\/www.ansto.gov.au\/education\/nuclear\u2010facts\/what\u2010is\u2010radiation"},{"key":"e_1_2_10_21_1","first-page":"387","article-title":"Radiation safety","volume":"42","year":"2013","journal-title":"Australian Journal for General Practitioners"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2016.04.005"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k2387"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.12.012"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2020-001548"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.12987","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T20:19:12Z","timestamp":1692303552000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.12987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,20]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/ajr.12987"],"URL":"https:\/\/doi.org\/10.1111\/ajr.12987","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,20]]},"assertion":[{"value":"2022-07-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}