News | Computed Tomography (CT) | June 20, 2019

New Type of Cardiac Care to Cut Imaging Wait Times and Unnecessary Hospital Admissions

Rapid Access Chest Pain Clinic will feature dedicated cardiac CT scanner, freeing up general-purpose scanners in emergency departments

New Type of Cardiac Care to Cut Imaging Wait Times and Unnecessary Hospital Admissions
3-D rendering from a cardiac CT scan
CT technologist and patient at Providence Health Care

June 20, 2019 — A new type of care for cardiac patients at St. Paul’s Hospital, Vancouver, has the potential to reduce heart imaging wait times, ease emergency department congestion and lower the number of unnecessary hospital admissions. At the center of the new approach is a GE Healthcare Cardiographe dedicated cardiac computed tomography (CT) scanner, the first of its kind in Canada. The machine will be used as a component of a stand-alone Rapid Access Chest Pain Clinic that will provide earlier prevention and life-saving treatment to cardiac patients.

“The Rapid Access Chest Pain Clinic has the potential to change the course of this disease by offering prevention and early intervention in a personalized fashion,” said Jonathon Leipsic, M.D., chair of Providence Health Care’s (PHC) Department of Radiology. It is partnering with St. Paul’s Cardiology Department in this initiative with funding from St. Paul’s Foundation.

The clinic would open in 2020 and will receive referrals from St. Paul’s Emergency Department, the City Centre Urgent Primary Care Clinic (UPCC) in Vancouver’s West End and from general practitioners. It will be staffed with specially trained cardiac CT technicians and nurses.

The dedicated cardiac CT is currently at St. Paul’s where scans are performed on about 25 patients a day, freeing up time on the hospital’s other general purpose CT scanners for other patients.

The cardiac scanner is smaller, easier to use and lighter than full-body scanners because it diagnoses only the heart. It also offers:

  • Sharper, crisper images that can provide greater direction on the next step of care; and
  • Similar or lower radiation doses than general-purpose scanners.

Patients who would be diagnosed with the cardiac scanner will be stable and have symptoms that include chest pain, shortness of breath and fatigue. Patients with valve disease will also benefit.

The concept of a rapid access chest pain clinic, supported by cardiac CT scanning, was inspired by the United Kingdom, where this model has proven highly effective. It is allowed for a more specific diagnosis of coronary artery disease.

The St. Paul’s model will help provide earlier diagnosis to patients who might otherwise end up in the ED due to referral wait times by specialists.

“If the cardiac CT scan is negative, it means the patient has an excellent prognosis with a very low cardiac-event rate for many years,” said Leipsic.

The chest pain clinic will have the capacity to care for about 2,500 cardiac patients a year.

St. Paul’s Foundation is in the process of raising $800,000 for the model of care. It has raised $500,000 of that so far.

For more information: www.providencehealthcare.org

 

Related Content

VIDEO: Walk Around of a GE Cardiographe Dedicated Cardiac CT Scanner

VIDEO: The Essentials of CT Transcatheter Valve Imaging

VIDEO: What to Look for in CT Structural Heart Planning Software

Related Content

A comparison of color-flow Doppler cardiac ultrasound showing blood flow, and blood speckle tracking revealing a more detailed and complex understanding of the low. It shows the formation of a vortex that may play a role in future assessments for the efficiency of flow in the heart and vessels. #ASE21 #ASE2021 #Vectorflowimaging

A comparison of color-flow Doppler cardiac ultrasound showing blood flow, and blood speckle tracking revealing a more detailed and complex understanding of the flow. It shows the formation of a vortex that may play a role in future assessments for the efficiency of flow in the heart and vessels. Image from JASE, read more.

Feature | Cardiac Imaging | August 17, 2021 | By Dave Fornell, Editor
In the past several years, a few ca...
A cardiac MRI of athletes who had COVID-19 is seven times more effective in detecting inflammation of the heart than symptom-based testing, according to a study led by researchers at The Ohio State University Wexner Medical Center and College of Medicine with 12 other Big Ten programs.

Cardiac Magnetic Resonance Imaging in Athletes With Clinical and Subclinical Myocarditis A-D, Athlete A with subclinical possible myocarditis was asymptomatic with normal electrocardiogram (ECG), echocardiogram, and high-sensitivity troponin findings. A, T2 mapping showing elevated T2 in basal-mid inferolateral wall in short axis view. B, late gadolinium enhancement (LGE) in the basal inferolateral wall in short axis view. C, Postcontrast steady state-free precession (SSFP) images showing contrast uptake in the basal-mid inferolateral wall in short axis view. D, LGE in the inferolateral wall in 3-chamber view. E-H, Athlete B with subclinical probable myocarditis was asymptomatic with normal ECG, normal echocardiogram, and elevated high-sensitivity troponin findings. E, T2 mapping showing elevated T2 in the anteroseptal wall in short axis view. F, LGE in the anteroseptal wall in 3-chamber view. G, T2 mapping showing elevated T2 in the anteroseptal wall in 3-chamber view. F, Postcontrast SSFP image showing pericardial effusion in short axis view. I-K, Athlete C with clinical myocarditis and chest pain, dyspnea, abnormal ECG, normal echocardiogram, and normal troponin findings. I, T2 mapping showing elevated T2 in the lateral wall short axis view. J, Postcontrast SSFP images showing contrast uptake in midlateral wall in short axis view. K, LGE in the epicardial midlateral wall in short axis view. L-N, Athlete D with clinical myocarditis, chest pain, abnormal ECG, echocardiogram, and troponin findings. L, T1 mapping showing elevated native T1 in midlateral wall in short axis view. M, T2 mapping showing elevated T2 in the midlateral wall in short axis view. N, LGE in the epicardial midlateral wall in short axis view. IR indicates inferior right view; IRP, inferior, right, posterior view; PLI, posterior, left, inferior view; SL, superior left view; SLA, superior, left, anterior view. Image courtesy of JAMA Cardiol. Published online May 27, 2021. doi:10.1001/jamacardio.2021.2065

News | Cardiac Imaging | June 15, 2021
June 15, 2021 — A...
Rensselaer algorithm can identify risk of cardiovascular disease using lung cancer scan #CT
News | Cardiac Imaging | June 14, 2021
June 14, 2021 — Heart disease and cancer are the ...
Women’s Heart Attack Research Program (HARP) shows combining OCT and cardiac MRI can detect the underlying cause of heart attack in women who did not have blocked arteries

The Women’s Heart Attack Research Program (HARP) study shows combining OCT and cardiac MRI can help detect the underlying cause of heart attacks in women who did not have blocked arteries.

News | Cardiac Imaging | November 17, 2020
November 17, 2020 — Diagnostic imaging techniques were able to find the underlying cause of heart attack in many wome
An example of a CT coronary artery calcium scoring exam showing how each vessel segment is scored to assess a patient's risk for a future heart attack. Example is from Philips Healthcare.

An example of a CT coronary artery calcium scoring exam showing how each vessel segment is scored to assess a patient's risk for a future heart attack. Example is from Philips Healthcare.

News | Cardiac Imaging | September 25, 2020
September 25, 2020 — A study out of University Hospitals (UH) found that removing the cost barrier for coronary arter
Rafael Rivero, M.D., Global Head of Medical Affairs at MSI, said: "The importance of MyoStrain cannot be understated because of the test's immense clinical value and ability to quantify intramyocardial dysfunction across 48 segments of the heart. In a six-heartbeat MRI scan, MyoStrain arms physicians with novel clinical information about a patient's heart health."
News | Cardiac Imaging | August 11, 2020
August 11, 2020 — Myocardial Solutions, Inc. and United Imaging, Inc.
The Mindways Solid phantom with volume of interest in the quality assurance phantom (red circles, left side). A participant's noncontrast-enhanced axial CT (right side) with volume of interest (yellow circles) in the trabecular bone compartment of three vertebrae for bone mineral density measurements. Image courtesy of Radiological Society of North America

The Mindways Solid phantom with volume of interest in the quality assurance phantom (red circles, left side). A participant's noncontrast-enhanced axial CT (right side) with volume of interest (yellow circles) in the trabecular bone compartment of three vertebrae for bone mineral density measurements. Image courtesy of Radiological Society of North America

News | Cardiac Imaging | July 15, 2020
July 15, 2020 — ...