Badria Awad Elamin , Abdulaziz Saeed Alahmari , Rahaf Khaled Alharbi , Fayza A. Qaba , Abdullah Mohammed Alshammry , Ahmed Abdulkhaliq Alzahrani , Ali Saeed Aldosari , Majed Fahad Almutairi , Hamad Turki Alshammari , Qurain Turki Alshammari

Abstract

This study was performed to evaluate Coronary Arteries imaging by Computer Tomography (CT) and its ability to diagnose ischemic conditions among emergency department patients presented. To measure the sensitivity of coronary CT in the diagnosis of cardiac conditions, the study also assessed the correlation between variables such as age, sex, troponin level, Electrocardiogram (ECG), and symptoms with results of CT coronary. The research was done in the Emergency Department of Prince Sultan Cardiac Center, Riyadh, Saudi Arabia from January to June 2022. It includes 50 patients (males to females' ratio was 70% to 30%). All patients were diagnosed to have CT coronary abnormality.

The results showed that related to patient symptoms, asymptomatic 6%, atypical chest pain 28%, chest pain 24%, palpitation 8%, and multiple symptoms 34%. The correlation between findings on ECG was that only (8%) had abnormal troponin levels. Calcium CT 28% and CT coronary were found to be abnormal in 48% of the patients, abnormal CT findings were found to be (52%) of the patients The most commonly reported symptoms by the patients were asymptomatic chest pain. There was no statistically significant association was seen between patients’ gender and symptoms or between symptoms reported and age. patients aged above 50 years had significantly higher CT findings (75%) than other age groups (p=0.004). However, there was no statistically significant association observed between CT findings and symptoms, ECGfindings, and troponin hormone levels. The study recommended that the CT coronary is the best way to diagnose ischemic coronary diseases.