scholarly journals Coronary Computed Tomographic Angiography Does Not Accurately Predict the Need of Coronary Revascularization in Patients with Stable Angina

2016 ◽  
Vol 57 (5) ◽  
pp. 1079 ◽  
Author(s):  
Sung-Jin Hong ◽  
Ae-Young Her ◽  
Yongsung Suh ◽  
Hoyoun Won ◽  
Deok-Kyu Cho ◽  
...  
Author(s):  
C. K. M. Boerhout ◽  
R. G. T. Feenstra ◽  
G. A. Somsen ◽  
Y. Appelman ◽  
P. Ong ◽  
...  

AbstractPatients with new-onset stable angina constitute a substantial part of the population seen by cardiologists. Currently, the diagnostic workup of these patients depends on the pre-test probability of having obstructive coronary artery disease. It consists of either functional testing for myocardial ischaemia or anatomical testing by using coronary computed tomographic angiography (CCTA) or invasive coronary angiography. In case the pre-test probability is > 5%, the current guidelines for the management of chronic coronary syndromes do not state a clear preference for one of the noninvasive techniques. However, based on the recently published cost-effectiveness analysis of the PROMISE trial and considering the diagnostic yield in patients with angina and nonobstructive coronary artery disease, we argue a more prominent role for CCTA as a gatekeeper for patients with new-onset stable angina.


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