Miroslav Martinkovič, Peter Prečinský
The most recent contribution in the field of heart imaging is electrocardiographically synchronized angiography executed through Multidetector Spiral Computerized Tomography (MSCT). From the vast area of clinical applications in noninvasive cardiology, two basic applications are used - the settings of calcium levels and mainly the contrasting angiography of epicadial coronary vessels. MSCT coronarography has potential to eliminate or to confirm coronary damage. It opens up a new possibility not only to visualize stenosis but also to differentiate morphology of the plate and to set its characteristics , scope and importance. MSCT coronarography brings an important progress to cardiological diagnostics and contributes positively to further management of patients as an alternative method of selective coronarography (SCG). MSCT has a significant medical and economic impact consisting mostly of the elimination of unnecessarily performed negative SCG´s. This elimination will free the capacity for really necessary procedures. It will also give a possibility to do an angioplasty percutaneous transluminal coronary in one sitting based on previously created picture of the state in which the coronary circulation finds itself diagnosed through MSCT. The need for the above described changes is current due to the present lack of caterization locations in Slovakia.