Heart Vision

Indications against CCTA

CT Coronary Angiography is not appropriate for:

Initial evaluation of symptomatic patients suspected of having coronary artery disease. These patients would typically still require and should be referred for a standard coronary angiogram.

Patients meeting any of the following the criteria should be discussed with a cardiologist prior to referral:

  • Impaired renal function
  • Allergy to intravenous contrast
  • Irregular or rapid heart rates
  • Known coronary artery disease (including previous bypass grafting, angioplasty or stenting) or extensive coronary calcification (older males with significant risk factors)
  • Any patient less than 40 years of age