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Tag Archives: CT coronary angiography

CTCA outperforms ETT in patients with stable chest pain and low-to-intermediate predicted risk

July 2013 Br J Cardiol 2013;20:108 doi:10.5837/bjc.2013.025 Online First

CTCA outperforms ETT in patients with stable chest pain and low-to-intermediate predicted risk

Toby Rogers, Michael Michail, Simon Claridge, Andrew Cai, Kathy Marshall, Jonathan Byrne, Narbeh Melikian, Khaled Alfakih

Abstract

Introduction For many years, the exercise tolerance test (ETT) has been the first-line investigation in patients presenting with stable chest pain. However, equivocal and false-positive results often lead to additional investigations. In recent years, computed tomography (CT) coronary angiography (CTCA) has been demonstrated to have excellent negative predictive value, making it a useful test to rule out obstructive coronary artery disease (CAD).1-3 In 2010, the UK National Institute for Health and Care Excellence (NICE) published clinical guideline 95: ‘Chest pain of recent onset’. This guideline advocates the use of a new risk estimatio

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