Coronary computed tomographic angiography as gatekeeper for new-onset stable angina |
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Authors: | C K M Boerhout R G T Feenstra G A Somsen Y Appelman P Ong M A M Beijk L Hofstra T P van de Hoef J J Piek |
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Institution: | 1.Department of Cardiology, Heart Centre, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centre, Amsterdam, The Netherlands ;2.Cardiology Centres of the Netherlands, Amsterdam, The Netherlands ;3.Department of Cardiology, Robert-Bosch-Krankenhaus, Stuttgart, Germany |
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Abstract: | 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. |
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Keywords: | Chronic coronary syndromes Coronary computed tomographic angiography Coronary artery disease Nonobstructive coronary artery disease Gatekeeper |
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