Coronary computed tomographic angiography as gatekeeper for new-onset stable angina.
Chronic coronary syndromes
Coronary artery disease
Coronary computed tomographic angiography
Gatekeeper
Nonobstructive coronary artery disease
Journal
Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
ISSN: 1568-5888
Titre abrégé: Neth Heart J
Pays: Netherlands
ID NLM: 101095458
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
accepted:
01
09
2021
pubmed:
23
10
2021
medline:
23
10
2021
entrez:
22
10
2021
Statut:
ppublish
Résumé
Patients 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.
Identifiants
pubmed: 34676522
doi: 10.1007/s12471-021-01639-7
pii: 10.1007/s12471-021-01639-7
pmc: PMC8556428
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
551-556Informations de copyright
© 2021. The Author(s).
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