{"id":31913,"date":"2026-10-13T16:43:09","date_gmt":"2026-10-13T14:43:09","guid":{"rendered":"https:\/\/test.nefrocenter.it\/specialita\/coronary-ct\/"},"modified":"2026-11-06T11:19:51","modified_gmt":"2026-11-06T10:19:51","slug":"coronary-ct","status":"publish","type":"specialita","link":"https:\/\/test.nefrocenter.it\/en\/specialita\/coronary-ct\/","title":{"rendered":"Coronary CT"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>The Coronary CT area covers non-invasive study of the coronary arteries with contrast medium.<\/p>\n","protected":false},"featured_media":0,"template":"","area_medica":[],"prestazione":[],"class_list":["post-31913","specialita","type-specialita","status-publish","hentry"],"acf":{"accreditato_ssn":false,"box_eccellenza":null,"eccellenza":false,"specialita_madre":31900,"lead":"Coronary CT, also called cardiac CT or coronary CT angiography, is a non-invasive examination that studies the coronary arteries with a contrast medium injected into a vein. In the NefroCenter Group it is performed at the Casa di Salute Santa Lucia, in the province of Napoli, and at the Rome American Hospital in Roma.","occhiello":"The coronary arteries are the arteries that feed the heart: when the physician suspects they are narrowed, coronary CT makes it possible to observe them without invasive examinations.","icona":false,"revisione_clinica":"","aggiornato":"in October 2026","ambito_titolo":"What coronary CT is and how it works","ambito_intro":"Coronary CT is a computed tomography scan dedicated to the heart: X-rays pass through the chest and a computer processes the data into three-dimensional images. An iodine-based contrast medium, injected through a peripheral venous line, makes the lumen and wall of the coronary arteries and the chambers of the heart visible.\n\nThe heart is always moving: this is why you are connected to an ECG monitor, and the images come out better with a regular rhythm and a heart rate that is not high. The scan requires holding your breath for a few seconds.\n\nThe group\u2019s dual-source CT scanners have two X-ray tubes and two detectors: they acquire the images at high speed and reduce motion artifacts.","ambito_voci":"Non-invasive examination\nContrast medium in a vein\nECG monitoring\nBreath-hold of a few seconds\nDual-source CT\nCalcium score without contrast","ambito_chiusura":"","segnali_titolo":"Who coronary CT is indicated for","segnali_intro":"Coronary CT is not a check-up examination: it should be performed only on the physician\u2019s indication, after estimating the likelihood of coronary artery disease from symptoms, age, sex and risk factors. According to the 2024 ESC guidelines on chronic coronary syndromes it is recommended, or may be considered, in these cases.","segnali_voci":"Suspected chronic coronary artery disease with a low or moderate likelihood, to confirm or rule it out\nLow or moderate likelihood and another non-invasive test that has not given a clear answer\nSymptoms that persist despite treatment after a bypass or stent, to check their patency","segnali_chiusura":"","img1_foto":"","img1_didascalia":"","servizi_titolo":"What it shows: cardiac CT and calcium score","servizi_intro":"<h3>Coronary stenoses and plaques<\/h3>\n\nCoronary CT shows narrowings (stenoses) of the coronary arteries and atherosclerotic plaques. Unlike functional tests, it also detects non-obstructive plaque, and this helps the physician to estimate long-term risk.\n\n<h3>Bypass and stents<\/h3>\n\nAfter a bypass or a stent, if symptoms persist despite treatment, coronary CT may be considered to check that bypass grafts and stents (of at least 3 mm) are patent, that is, not obstructed. After revascularization, however, the guidelines generally prefer functional tests; without symptoms, they recommend regular visits to the physician or cardiologist.\n\n<h3>The calcium score<\/h3>\n\nThe calcium score (coronary artery calcium score) is an ECG-gated CT scan, without contrast, that quantifies the calcium in the coronary arteries. A high score indicates a higher cardiovascular risk; a value of zero makes obstructive coronary artery disease very unlikely, but does not rule it out, especially in younger people. According to the 2024 ESC guidelines it may be considered in those with suspicious symptoms but a low likelihood of disease and in those who, without symptoms, have a risk close to the threshold at which treatment is decided.","servizi_voci":"","servizi_chiusura":"","img2_foto":"","img2_didascalia":"","figlie_titolo":"","box_eccellenza_titolo":"","box_eccellenza_testo":"","rimandi_titolo":"","rimandi_voci":"","prevenzione_titolo":"","prevenzione_testo":"","visita_titolo":"How the examination is generally performed","visita_passi":"You hand over the physician\u2019s request and the test results, and sign the consent for the examination and the contrast medium.\nOn the table you are connected to an ECG monitor and a peripheral venous line is placed.\nIf necessary, and in the absence of contraindications, the physician may administer a beta-blocker to slow the heartbeat and\/or nitrates by mouth, which dilate the coronary arteries and improve the images.\nYou practice the breath-hold; then the table enters the ring of the CT scanner, which rotates around the chest: you do not go completely inside the machine.\nWith the contrast you may feel diffuse warmth or a metallic taste, which pass in a few minutes; then you remain under observation before the venous line is removed.\nThe radiologist writes the report, which the physician who prescribed the examination explains to the patient.","gruppo_titolo":"Cardiac CT in San Giuseppe Vesuviano (NA) and in Roma","gruppo_testo":"At the Casa di Salute Santa Lucia in San Giuseppe Vesuviano, in the province of Napoli, cardiac CT is performed with the dual-source Siemens SOMATOM Pro.Pulse CT scanner. Artificial intelligence algorithms adapt the scan to each patient, a 3D camera helps with positioning and tin filters, in some examinations, reduce the radiation dose.\n\nAt the Rome American Hospital in Roma, cardiac CT and the calcium score are performed on the Siemens SOMATOM Force CT scanner, a third-generation dual-source system which, thanks to its high temporal resolution, makes it possible to acquire the images even with a higher or less regular heart rate. Whether the examination is indicated and feasible is always assessed by the physician.\n\n<p><a href=\"\/en\/specialita\/advanced-diagnostics\/\">All the Advanced Diagnostics of the NefroCenter Group<\/a><\/p>nn","unita_titolo":"","extra1_titolo":"How to prepare for coronary CT","extra1_intro":"The facility\u2019s precise instructions apply. In general:\n- avoid coffee, tea, cocoa and other stimulants in the days before the examination;\n- if the heart rate is irregular or high, discuss it beforehand with the treating physician or the cardiologist, who will assess whether treatment is needed;\n- fast for the time indicated by the facility;\n- bring recent creatinine with eGFR and blood glucose results, cardiology records and previous examinations;\n- remove jewelry and metal objects;\n- if you come by car, be accompanied by someone who can drive.\n\nAllergies (especially previous reactions to contrast), kidney or liver failure, myeloma, diabetes, asthma, pregnancy and ongoing medicines, including beta-blockers and biguanides (diabetes medicines), must be reported beforehand and must not be stopped on your own initiative. After the examination, unless the physician indicates otherwise (for example in dialysis, with heart failure or with a fluid restriction), it is advisable to drink plenty: the contrast is eliminated in the urine.","extra1_voci":"","extra1_chiusura":"","extra2_titolo":"Coronary CT and coronary angiography: differences and limits","extra2_intro":"Coronary angiography is an invasive examination: a catheter, introduced through an artery in the wrist or groin, reaches the coronary arteries, and the obstructions found can be treated with angioplasty. Coronary CT, which is non-invasive, is used for diagnosis and is increasingly the initial imaging examination of the coronary arteries; if it shows high-risk disease, the physician may directly indicate coronary angiography.\n\nFunctional tests, such as the exercise ECG, stress echocardiography and myocardial scintigraphy, look for signs of ischemia; CT shows the anatomy of the arteries and, if the result is doubtful, the physician may request a functional test.\n\nAccording to the 2024 ESC guidelines, coronary CT is not recommended with severe kidney failure (eGFR below 30) or acutely worsened heart failure, nor when extensive coronary calcifications, a fast and irregular heart rate, severe obesity or difficulty holding the breath prevent good-quality images. Contraindications to iodinated contrast can also make it inappropriate; in elderly people with heavily calcified coronary arteries a functional test may be more suitable.","extra2_voci":"","extra2_chiusura":"","faq_titolo":"Frequently asked questions","faq_voci":"What is the difference between cardiac CT, coronary CT, coronary CT angiography and coronary CAT scan? | In common usage they refer to the same ECG-gated contrast CT scan that studies the coronary arteries; strictly speaking, cardiac CT is the CT of the heart in general, which may include other studies. CAT is the historical acronym for computed axial tomography. The calcium score, sometimes also called a coronary CAT scan, is a different examination, without contrast.\nWhat is the difference between coronary CT and coronary angiography? | Coronary angiography is invasive: a catheter reaches the coronary arteries from an artery in the wrist or groin and also makes it possible to treat obstructions. Coronary CT requires only an injection into a vein and is used for diagnosis.\nHow long does coronary CT take? Does it hurt? | The scan requires a breath-hold of a few seconds. Between preparation and observation after the contrast, generally half an hour to an hour, you stay longer: the exact times are indicated by the facility. The examination is not painful; the contrast may cause diffuse warmth, a metallic taste or slight nausea, which pass in a few minutes.\nCan it be done with a high heart rate or an arrhythmia? Is a beta-blocker needed? | The images come out better with a regular rhythm and a heart rate that is not high. If the rate is high or irregular (some protocols indicate over 65 beats per minute), the treating physician or cardiologist assesses whether treatment is needed before the examination; on the day itself, if not contraindicated, the physician may administer a beta-blocker to slow the heartbeat. With uncontrolled arrhythmias the examination may not be indicated.\nIs coronary CT dangerous? What are the risks of radiation and contrast? | It uses X-rays, which carry a possible dose-related risk: this is why it should be performed only with a precise indication, when the benefit outweighs the risk, and with the lowest dose compatible with the technology. Reactions to contrast are rare, serious ones even more so; among the possible effects is kidney damage, which is why kidney function and allergies are assessed beforehand. With severe kidney failure it is not recommended; in pregnancy CT is avoided.\nWhat is the calcium score? Is contrast medium needed? | It is a score that quantifies the calcium in the coronary arteries, with an ECG-gated CT scan and without contrast medium. A value of zero makes obstructive coronary artery disease very unlikely, but does not rule it out, especially in younger people. The physician may propose it, for example, with a cardiovascular risk close to the threshold at which treatment is decided.\nCan coronary CT be done as a check-up, without symptoms? | Generally not: without symptoms, contrast coronary CT is not indicated as a screening examination, and the Italian National Institute of Health reminds us that CT is not a tool for periodic check-ups, because of the radiation dose. Moreover, according to the 2024 ESC guidelines, there is no evidence in favor of further imaging examinations on the sole basis of the calcium found in the coronary arteries.","nc_sinonimi":"cardiac CT, CT angiography, coronary arteries, heart scan"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Coronary CT - Gruppo NefroCenter<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Coronary CT - Gruppo NefroCenter\" \/>\n<meta property=\"og:description\" content=\"The Coronary CT area covers non-invasive study of the coronary arteries with contrast medium.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/test.nefrocenter.it\/en\/specialita\/coronary-ct\/\" \/>\n<meta property=\"og:site_name\" content=\"Gruppo NefroCenter\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NefrocenterNefrocenter\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-11-06T10:19:51+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/test.nefrocenter.it\/en\/specialita\/coronary-ct\/\",\"url\":\"https:\/\/test.nefrocenter.it\/en\/specialita\/coronary-ct\/\",\"name\":\"Coronary CT - 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