Internal and Emergency Medicine

, Volume 8, Supplement 1, pp 35–39

Sudden death and physical exercise: timely diagnosis of congenital anomalies of the coronary arteries with the new 320-slide multi-detector computed tomography

  • Carlo Gaudio
  • Francesco Pelliccia
  • Antonietta Evangelista
  • Nicola Viceconte
  • Cesare Greco
  • Ferdinando Franzoni
  • Fabio Galetta
  • Giuseppe Speziale
  • Antonio Pelliccia
Review

DOI: 10.1007/s11739-013-0923-0

Cite this article as:
Gaudio, C., Pelliccia, F., Evangelista, A. et al. Intern Emerg Med (2013) 8: 35. doi:10.1007/s11739-013-0923-0

Abstract

Congenital abnormalities of the coronary arteries here described are an uncommon form of structural heart disease. Nevertheless, they deserve attention because may cause chest pain and, in some cases, sudden cardiac death even during exercise. Traditional angiography has limitations due to its projectional and invasive nature. The recent development of the 320-slide multi-detector computer tomography with low radiation exposure has the potential to modify the current diagnostic work-up, as it allows even in young people a timely identification of clinical significant coronary anomalies minimizing the risks related to radiation exposure.

Keywords

Congenital coronary anomaliesCoronary angiographyMulti-detector computed tomography

Copyright information

© SIMI 2013

Authors and Affiliations

  • Carlo Gaudio
    • 1
    • 2
  • Francesco Pelliccia
    • 1
  • Antonietta Evangelista
    • 1
  • Nicola Viceconte
    • 1
  • Cesare Greco
    • 1
  • Ferdinando Franzoni
    • 3
  • Fabio Galetta
    • 3
  • Giuseppe Speziale
    • 4
  • Antonio Pelliccia
    • 5
  1. 1.Department “Attilio Reale”Sapienza UniversityRomeItaly
  2. 2.Eleonora Lorillard Spencer Cenci FoundationRomeItaly
  3. 3.Department of Internal MedicineUniversity of PisaPisaItaly
  4. 4.Anthea Hospital, GVM Care and ResearchES Health Science FoundationBariItaly
  5. 5.Institute of Sport Medicine and ScienceRomeItaly