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CT coronary angiography: a paradigm shift for functional imaging tests

The UK National Institute for Health and Care Excellence (NICE) have just updated their guideline on new-onset stable chest pain, recommending that all patients should be investigated with a CT coronary angiography (CTCA). In a separate guideline, NICE recommended CT fractional flow reserve (CT-FFR)...

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Detalles Bibliográficos
Autores principales: Alfakih, Khaled, Byrne, Jonathan, Monaghan, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888438/
https://www.ncbi.nlm.nih.gov/pubmed/29632679
http://dx.doi.org/10.1136/openhrt-2017-000754
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author Alfakih, Khaled
Byrne, Jonathan
Monaghan, Mark
author_facet Alfakih, Khaled
Byrne, Jonathan
Monaghan, Mark
author_sort Alfakih, Khaled
collection PubMed
description The UK National Institute for Health and Care Excellence (NICE) have just updated their guideline on new-onset stable chest pain, recommending that all patients should be investigated with a CT coronary angiography (CTCA). In a separate guideline, NICE recommended CT fractional flow reserve (CT-FFR), to assess coronary stenoses, found on CTCA, stating that this would reduce the need for invasive coronary angiography and hence reduce cost. We discuss the evidence base for CT-FFR and emphasise that we already have established functional imaging tests, with extensive evidence base for efficacy and prognosis and that CT-FFR should be compared with this standard of care and not with the much more expensive and invasive fractional flow reserve undertaken during invasive coronary angiography.
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spelling pubmed-58884382018-04-09 CT coronary angiography: a paradigm shift for functional imaging tests Alfakih, Khaled Byrne, Jonathan Monaghan, Mark Open Heart Coronary Artery Disease The UK National Institute for Health and Care Excellence (NICE) have just updated their guideline on new-onset stable chest pain, recommending that all patients should be investigated with a CT coronary angiography (CTCA). In a separate guideline, NICE recommended CT fractional flow reserve (CT-FFR), to assess coronary stenoses, found on CTCA, stating that this would reduce the need for invasive coronary angiography and hence reduce cost. We discuss the evidence base for CT-FFR and emphasise that we already have established functional imaging tests, with extensive evidence base for efficacy and prognosis and that CT-FFR should be compared with this standard of care and not with the much more expensive and invasive fractional flow reserve undertaken during invasive coronary angiography. BMJ Publishing Group 2018-03-27 /pmc/articles/PMC5888438/ /pubmed/29632679 http://dx.doi.org/10.1136/openhrt-2017-000754 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Coronary Artery Disease
Alfakih, Khaled
Byrne, Jonathan
Monaghan, Mark
CT coronary angiography: a paradigm shift for functional imaging tests
title CT coronary angiography: a paradigm shift for functional imaging tests
title_full CT coronary angiography: a paradigm shift for functional imaging tests
title_fullStr CT coronary angiography: a paradigm shift for functional imaging tests
title_full_unstemmed CT coronary angiography: a paradigm shift for functional imaging tests
title_short CT coronary angiography: a paradigm shift for functional imaging tests
title_sort ct coronary angiography: a paradigm shift for functional imaging tests
topic Coronary Artery Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888438/
https://www.ncbi.nlm.nih.gov/pubmed/29632679
http://dx.doi.org/10.1136/openhrt-2017-000754
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