Tabac, HTA, cholestérol... : j'analyse le COROSCANNER de ce patient à très haut risque !

In this video, we will review the clinical case of a patient in his 70s, completely asymptomatic but with a number of cardiovascular risk factors (hypertension, smoking, hypercholesterolemia, family history, etc.). He presents with a pathological resting ECG, with an inferior ischemic scar. Due to his numerous CV risk factors and this abnormal ECG, his cardiologist requests a coronary artery CT scan, even though the patient is asymptomatic. This video will provide a complete analysis of his examination, including the calcium score and the coronary artery CT scan itself. This example will demonstrate the value of coronary artery CT scans, even when the pre-test probability is very high! ABOUT THIS VIDEO It was filmed and edited in Strasbourg in November 2024. The data I present here is the most up-to-date according to my current knowledge. WHO AM I? Professor Mickaël Ohana, Professor of Radiology at the Strasbourg University Hospital (France). I am a radiologist specializing in diagnostic cardiovascular and thoracic imaging. My specific area of ​​expertise is cardiac, thoracic, and vascular cross-sectional imaging (CT and MRI), for which I completed two fellowships (clinical fellowships): 1/ one in Strasbourg (France) in 2011-2013 in thoracic imaging, 2/ and a second in Vancouver (Canada) in 2016-2017 in cardiac imaging. As a radiologist, I also provide out-of-hours care and therefore emergency examinations for all patients. Being fortunate enough to work in a university hospital, we see exceptional and instructive cases every day, which I try to share with you. As an academic, I am also involved in research and teaching. Those interested can find the complete and up-to-date list of my scientific publications here: vu.fr/ohana WHY DO I MAKE VIDEOS? I'm passionate, and the central role of radiology and the radiologist is unfortunately still little known, especially outside of hospitals. Likewise, our specialty is evolving at the speed of light, and new indications and possibilities appear very regularly. The goal is to share with you didactic cases, articles, courses, and food for thought to highlight the role of the radiologist and draw attention to new options available in radiology. In short, sharing knowledge with as many people as possible, doctors and the curious alike: for a visual specialty like radiology, YouTube is the best place! TIMELINE 00:00 Introduction 01:32 Technical Update 02:50 Calcium Score Analysis 06:06 Cardiac CT Analysis 14:00 Conclusion