Prevalence and extent of atherosclerotic coronary artery disease and related outcome based on coronary computed tomographic angiography in asymptomatic elderly patients: retrospective cohort study

2014 ◽  
Vol 30 (3) ◽  
pp. 669-676 ◽  
Author(s):  
Hye-Jeong Lee ◽  
Young Jin Kim ◽  
Jin Hur ◽  
Ji Won Lee ◽  
Yoo Jin Hong ◽  
...  
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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