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Articles by Harvey Hecht
The US Preventive Services Task Force, aspirin, and coronary artery computed tomography imaging
Aspirin (ASA) for the primary prevention of cardiovascular disease (CVD) has been the subject of considerable interest and debate, with varying estimates of CVD prevention/bleeding risk ratios, and attempts to identify the segment of the population for whom there may be net clinical benefit.
Should NICE Guidelines for Evaluation of CAD be Universal?
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Extreme Physical Activity May Increase Coronary Calcification, But Fitness Still Prevails
Considerable data have emphasized the powerful impact of sedentary behavior, physical inactivity, and low levels of physical activity (PA) that result in poor levels of cardiorespiratory fitness (CRF) on overall and cardiovascular health.1x1Lavie, C.J., Ozemek, C., Carbone, S., Katzmarzyk, P.T., and Blair, S.N. Sedentary behavior, exercise, and cardiovascular health. Circ Res.
It’s in the Field of View!
Several questions of great importance to the cardiovascular community loom large in chest CT imaging: If imaging of the requested organs (aorta and pulmonary arteries) on computed tomographic angiography is enhanced by simple techniques that enable analysis of the coronary arteries, should the acquisition standard of care be changed to permit coronary analysis and reporting?
Prognostic Determinants of Coronary Atherosclerosis in Stable Ischemic Heart Disease
Risk stratification in patients with stable ischemic heart disease is essential to guide treatment decisions. In this regard, whether coronary anatomy, physiology, or plaque morphology is the best determinant of prognosis (and driver an effective therapeutic risk reduction) remains one of the greatest ongoing debates in cardiology.
Fractional Flow Reserve and Coronary Computed Tomographic Angiography
Invasive fractional flow reserve (FFR) is now the gold standard for intervention. Noninvasive functional imaging analyses derived from coronary computed tomographic angiography (CTA) offer alternatives for evaluating lesion-specific ischemia. CT-FFR, CT myocardial perfusion imaging, and transluminal attenuation gradient/corrected contrast opacification have been studied using invasive FFR as the gold standard.
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