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July 2017 Br J Cardiol 2017;24:105–7 doi:http://doi.org/10.5837/bjc.2017.017 Online First

The age of diagnostic coronary angiography is over

Andrew J M Lewis

Abstract

The problem Diagnostic coronary angiography died some time ago, so why has it still not yet been buried alongside the exploratory laparotomy? The problem is clear: despite over half a century of experience, almost two-thirds of those undergoing elective diagnostic angiograms do not have obstructive coronary artery disease.1 Even in contemporary National Health Service (NHS) cardiac catheter laboratories, non-flow limiting coronary disease or angiographically normal coronary arteries remain common findings. Coronary angiography is now, arguably, the last invasive procedure to be performed with primarily diagnostic intent on this scale. How do

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