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Tag Archives: computed tomography coronary angiography

CT coronary angiography with HeartFlow<sup>®</sup>: a user’s perspective

September 2019 Br J Cardiol 2019;26:105–9 doi:10.5837/bjc.2019.029

CT coronary angiography with HeartFlow®: a user’s perspective

Paul Brady, Andrew Kelion, Tom Hyde, Edward Barnes, Hazim Rahbi, Andy Beale, Steve Ramcharitar

Abstract

Introduction In 2010, the UK’s National Institute for Health and Care Excellence (NICE) published a landmark guideline for the investigation of patients with chest pain of recent onset (CG95). This placed a major emphasis on determining the pre-test probability of coronary artery disease (CAD) and then using this information to select an appropriate imaging test, the exact choice depending to some extent on local expertise.1 In November 2016, NICE published an update of CG95, and made substantial changes to the guidelines. As well as eliminating the clinically derived pre-test probability as a means of directing further investigations, NICE

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Opinions on the expanding role of CTCA in patients with stable chest pain and beyond: a UK survey

July 2018 Br J Cardiol 2018;25:107–9 doi:10.5837/bjc.2018.019 Online First

Opinions on the expanding role of CTCA in patients with stable chest pain and beyond: a UK survey

Saad Fyyaz, Alexandros Papachristidis, Jonathan Byrne, Khaled Alfakih

Abstract

Introduction The National Institute for Health and Care Excellence (NICE) released an updated guideline on stable chest pain in 2016.1 It marked a radical departure from the 2010 NICE and European Society of Cardiology (ESC) guidelines.2 They recommended that the pre-test probability risk score should not be used as it over-estimated the likelihood of coronary artery disease (CAD) and that all patients with chest pain, typical or atypical, should be investigated with computed tomography (CT) coronary angiography (CTCA) in the first instance. Functional imaging tests were reserved for the assessment of patients with chest pain and known CAD,

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April 2013 Br J Cardiol 2013;20:46 Online First

Correspondence: feasibility of using CTCA in patients with acute low-to-intermediate likelihood chest pain in a DGH

Dr Justin Williamson; Drs Toby Rogers, Jonathan Hill, and Khaled Alfakih

Abstract

Feasibility of using CTCA in patients with acute low-to-intermediate likelihood chest pain in a DGH Dear Sirs, I would like to make three points about this paper:1 1. The summary states “results suggest that it is feasible to use computed tomography coronary angiography (CTCA)…in place of exercise tolerance testing (ETT) at no extra cost”. The body of the article shows “CTCA had a higher cost compared with ETT. The overall cost per patient was £375 with CTCA vs. £309 with ETT, but this was not statistically significant (p=0.28)”. The lack of significance is attributable to the small size of the data-set, and it does not allow a co

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