Cardiac CT Improves Outcomes in Stable Coronary Heart Disease: Results of Recent Clinical TrialsReportar como inadecuado




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Current Cardiovascular Imaging Reports

, 10:14

Topical Collection on Cardiac Computed Tomography

Abstract

Purpose of ReviewThe purpose of this study was to review the recent randomised controlled trials of coronary computed tomography angiography CCTA for patients with stable coronary artery disease.

Recent FindingsThe initial results and subsequent papers from the SCOT-HEART Scottish COmputed Tomography of the HEART and PROMISE PROspective Multicentre Imaging Study for Evaluation of chest pain trials have shown that CCTA is a safe and appropriate addition to standard care or alternative to functional testing. The SCOT-HEART study showed that CCTA changes diagnoses, improves diagnostic certainty, changes management, leads to more appropriate use of invasive coronary angiography, and reduces fatal and non-fatal myocardial infarction. A meta-analysis of the four randomised controlled trials showed that CCTA leads to a major reduction in myocardial infarction in patients with stable chest pain.

SummaryCCTA is now an established technique for the assessment of coronary artery disease. Recent ‘test and treat’ randomised controlled trials have shown that CCTA guided changes in management can improve clinical outcomes.

KeywordsComputed tomography Chest pain Angina Coronary heart disease AbbreviationsCCTACoronary computed tomography angiography

CIConfidence interval

ETTExercise tollerance test

HRHazard ratio

ICAInvasive coronary angiography

mSvMillisievert

MPSMyocardial perfusion single photon emission

OROdds ratio

RACPCRapid access chest pain clinic

RRRelative risk

This article is a part of the Topical Collection on Cardiac Computed Tomography

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Autor: Michelle C. Williams - Alastair Moss - Edward Nicol - David E. Newby

Fuente: https://link.springer.com/







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