Cardiac CT, Coronary CT Angiography, Calcium Scoring and CT Fractional Flow Reserve. Number 0. 22. 8Policy. Aetna considers cardiac computed tomography CT angiography of the coronary arteries using 6. Rule out significant coronary stenosis in persons with a low or intermediate pre test probability of coronary artery disease or atherosclerotic cardiovascular disease by Framingham risk scoring, Pooled Cohort Equations, or by American College of Cardiology ACC criteria see Appendix, with any of the following indications Evaluation of persons with chest pain who can not perform or have contraindications to exercise and pharmacological stress testing see Appendix or. Number 0228. Policy. Aetna considers cardiac computed tomography CT angiography of the coronary arteries using 64slice or greater medically necessary for the. This Recommendation Statement from the US Preventive Services Task Force recommends use of low to moderatedose statins for primary prevention in adults aged 4. The Framingham Risk Score is a genderspecific algorithm used to estimate the 10year cardiovascular risk of an individual. The Framingham Risk Score was first. Evaluation of persons with chest pain presenting to the emergency department in persons without acute ECG changes or positive coronary markers when an imaging stress test or coronary angiography are being deferred as the initial imaging study. Rule out significant coronary stenosis in persons with a low pre test probability of coronary artery disease or atherosclerotic cardiovascular disease by Framingham risk scoring, Pooled Cohort Equations, or by American College of Cardiology ACC criteria see Appendix with a positive i. ST segment depression stress test. Evaluation of asymptomatic persons at an intermediate pre test probability of coronary heart disease or atherosclerotic cardiovascular disease by Framingham risk scoring or Pooled Cohort Equations see Appendix who have an equivocal or uninterpretable exercise or pharmacological stress test. Note Current guidelines from the American Heart Association recommend against routine stress testing for screening asymptomatic adults. Pre operative assessment of persons scheduled to undergo high risk non cardiac surgery, where an imaging stress test or invasive coronary angiography is being deferred unless absolutely necessary. The ACC defines high risk surgery as emergent operations, especially in the elderly, aortic and other major vascular surgeries, peripheral vascular surgeries, and anticipated prolonged surgical procedures with large fluid shifts andor blood loss involving the abdomen and thorax. Pre operative assessment for planned non coronary cardiac surgeries including valvular heart disease, congenital heart disease, and pericardial disease, in lieu of cardiac catheterization as the initial imaging study. Detection and delineation of suspected coronary anomalies in young persons less than 3. Calculation of fractional flow reserve Heart. Flow FFRCT for persons who have a coronary CTA that has shown coronary artery disease of uncertain functional significance, or is non diagnostic. Welcome to QCancer 2017. Fifa 2008 Pc Full Version. Broad City Season 1 Torrent. This website is primarily intended for doctors and nurses working in general practice and for academics who are interest in the underlying. CSANZ Position Statement Page Coronary Artery Calcium Scoring 2 Interpretation of CAC CAC 0. A zero score confers a very low risk of death, lt1 at 10 years. Aetna considers CT angiography of cardiac morphology for pulmonary vein mapping medically necessary for the following indications Evaluation of persons needing biventricular pacemakers to accurately identify the coronary veins for lead placement. Evaluation of the pulmonary veins in persons undergoing pulmonary vein isolation procedures for atrial fibrillation pre and post ablation procedure. Aetna considers CT angiography medically necessary for preoperative assessment of the aortic valve annulus prior to anticipated transcatheter aortic valve replacement TAVR. Aetna considers cardiac CT for evaluating cardiac structure and morphology medically necessary for the following indications Anomalous pulmonary venous drainage Evaluation of other complex congenital heart diseases Evaluation of sinus venosum atrial septal defect Kawasakis disease Person scheduled or being evaluated for surgical repair of tetralogy of Fallot or other congenital heart diseases Pulmonary outflow tract obstruction Suspected or known Marfans syndrome. Aetna considers cardiac CT angiography experimental and investigational for persons with any of the following contraindications to the procedure because its effectiveness for indications other than the ones listed above has not been established Body mass index BMI greater than 4. Inability to image at desired heart rate under 8. Person with allergy or intolerance to iodinated contrast material. Persons in atrial fibrillation or with other significant arrhythmia. Persons with extensive coronary calcification by plain film or with prior Angston score greater than 1,7. Aetna considers cardiac CT angiography using less than 6. Aetna considers coronary CT angiography experimental and investigational for screening of asymptomatic persons, evaluation of atherosclerotic burden, evaluation of persons at high pre test probability of coronary artery disease, evaluation of stent occlusion or in stent restenosis, evaluation of persons with an equivocal PET rubidium study, identification of vulnerable plaques, monitoring of atheroma burden, and for all other indications e. Note The selection of CT angigraphy should be made within the context of other testing modalities such as stress myocardial perfusion images or cardiac ultrasound results so that the resulting information facilitates the management decision and does not merely add a new layer of testing. Aetna considers a single calcium scoring by means of low dose multi slice CT angiography, ultrafast electron beam CT, or spiral helical CT medically necessary for screening the following i asymptomatic persons age 4. CHKRisk Calculator A FRC PROCAM FRAMINGHAM EUSCORE Geschlecht Mann, Frau Prmenopause, Menopause Alter Jahre. Primarycareforms. The no nonsense website that gives primary care providers all the forms they need, without any fuss. Just click on the links to take you to the. MSN Health and Fitness has fitness, nutrition and medical information for men and women that will help you get active, eat right and improve your overall wellbeing. Articles/104129/fphys-05-00310-HTML/image_m/fphys-05-00310-g004.jpg' alt='Framingham Risk Score Calculator Pdf' title='Framingham Risk Score Calculator Pdf' />Framingham Risk Scoring or Pooled Cohort Equations see Appendix. Serial or repeat calcium scoring is considered experimental and investigational. Aetna considers calcium scoring by means of low dose CT angiography medically necessary for persons who meet criteria for diagnostic cardiac CT angiography to assess whether an adequate image of the coronary arteries can be obtained. Aetna considers calcium scoring e. CT, spiral helical CT, and multi slice CT experimental and investigational for all other indications because of insufficient evidence in the peer reviewed published medical literature. Background. Cardiac CT Angiography. Coronary computed tomography angiography CCTA is a noninvasive imaging modality designed to be an alternative to invasive cardiac angiography cardiac catheterization for diagnosing CAD by visualizing the blood flow in arterial and venous vessels. The gold standard for diagnosing coronary artery stenosis is cardiac catheterization. Contrast enhanced cardiac CT angiography CTA  involves the use of multi slice CT and intravenously administered contrast material to obtain detailed images of the blood vessels of the heart. It has been used as an alternative to conventional invasive coronary angiography for evaluating coronary artery disease and coronary artery anomalies. The performance of cardiac CTA has been improved by increasing the number of slices that can be acquired simultaneously by increasing the number of detector rows AHTA, 2. As the number of slices that can be acquired simultaneously increases, the scanning time is shortened and the spatial resolution is increased. Initial cardiac CT imaging was conducted with 4 slice detector CT. Scanning times were reduced from 4. CT and with the advent of 6. CT, scanning times have been reduced to a 1. Cardiac CTA using 6. Primarycareforms. The. no nonsense website that gives primary care providers all the forms. Just. click on the links to take you to the area you want. View the lists. preview the form you want, then download it for free.