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Clinical Research in Cardiology
Published in: Clinical Research in Cardiology 10/2023

15-08-2023 | Angiography | Critical Perspective

Lessons learned from SCOT-HEART, DISCHARGE, and PRECISE: a patient-centered perspective with implications for the appropriate use of CCTA

Authors: Grigorios Korosoglou, Holger Thiele, Stephan Baldus, Michael Böhm, Norbert Frey

Published in: Clinical Research in Cardiology | Issue 10/2023

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Excerpt

More than 2 decades ago, early coronary computed tomography angiography (CCTA) studies first compared its sensitivity and specificity with invasive coronary angiography [1], and subsequent studies established its excellent sensitivity and negative predictive value for the detection of obstructive CAD [2‐4]. Currently, CCTA has become a cornerstone for the non-invasive diagnostic work-up of patients in the lower range of intermediate pre-test probability of coronary artery disease (CAD) and its appropriate use is endorsed by several current national and international guidelines [5, 6]. …
Literature
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Achenbach S, Moshage W, Ropers D, Nossen J, Daniel WG (1998) Value of electron-beam computed tomography for the noninvasive detection of high-grade coronary-artery stenoses and occlusions. N Engl J Med 339(27):1964–1971CrossRefPubMed
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Task Force M, Montalescot G, Sechtem U et al (2013) 2013 ESC guidelines on the management of stable coronary artery disease: the task force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J 34(38):2949–3003CrossRef
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Eckert J, Renczes-Janetzko P, Schmidt M, Magedanz A, Voigtlander T, Schmermund A (2019) Coronary CT angiography (CCTA) using third-generation dual-source CT for ruling out in-stent restenosis. Clin Res Cardiol 108(4):402–410CrossRefPubMed
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Schmermund A, Eckert J, Schmidt M, Magedanz A, Voigtlander T (2018) Coronary computed tomography angiography: a method coming of age. Clin Res Cardiol 107(Suppl 2):40–48CrossRefPubMed
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Williams MC, Kwiecinski J, Doris M et al (2020) Low-attenuation noncalcified plaque on coronary computed tomography angiography predicts myocardial infarction: results from the multicenter SCOT-HEART trial (Scottish computed tomography of the HEART). Circulation 141(18):1452–1462CrossRefPubMedCentral
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Group DT, Maurovich-Horvat P, Bosserdt M et al (2022) CT or invasive coronary angiography in stable chest pain. N Engl J Med 386(17):1591–1602CrossRef
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Gulati M, Levy PD, Mukherjee D et al (2021) 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR guideline for the evaluation and diagnosis of chest pain: executive summary: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 144(22):e368–e454PubMed
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Metadata
Title
Lessons learned from SCOT-HEART, DISCHARGE, and PRECISE: a patient-centered perspective with implications for the appropriate use of CCTA
Authors
Grigorios Korosoglou
Holger Thiele
Stephan Baldus
Michael Böhm
Norbert Frey
Publication date
15-08-2023
Publisher
Springer Berlin Heidelberg
Published in
Clinical Research in Cardiology / Issue 10/2023
Print ISSN: 1861-0684
Electronic ISSN: 1861-0692
DOI
https://doi.org/10.1007/s00392-023-02277-2

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