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Tag Archives: computed tomography coronary angiogram (CTCA)

April 2017 Br J Cardiol 2017;24:66-7 doi:http://doi.org/10.5837/bjc.2017.009 Online First

Does CTCA improve the diagnostic yield from conventional coronary angiography? A DGH experience

Colin Reid, Mark Tanner, Hatef Mansoubi, Conrad Murphy

Abstract

Introduction Computed tomography coronary angiography (CTCA) is an established and validated alternative to invasive coronary angiography (ICA).1 The extent to which CTCA can replace ICA is controversial.2 The low diagnostic yield from ICA suggest there is ample scope to select patients more efficiently for investigation.3 In 2010, in the UK, the National Institute for Health and Care Excellence (NICE)4 published new guidelines for the investigation of patients with suspected coronary artery disease (CAD), which incorporated CTCA as a first-line investigation.5 In keeping with these guidelines, we ceased to use exercise testing as a primary t

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