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01-04-2021 | Computed Tomography | EDITORIAL

Patient first versus computed tomography first strategy in testing for stable coronary artery disease: dispelling the prevailing myths and biases

Authors: Edward A. Hulten, Saurabh Malhotra, Suman Tandon

Published in: Journal of Nuclear Cardiology | Issue 2/2021

Abstract

We advocate an evidence-based discussion for a patient first philosophy when considering “the right test for the right patient.” Numerous test options exist for the evaluation of symptoms of possible stable ischemic heart disease. Major guidelines have traditionally focused on functional testing with or without imaging to clarify symptoms, diagnose ischemia, stratify prognosis, and guide management. Recently, industry advocates have emphasized modality-specific approaches such as computed tomography (CT First) as an initial test strategy for possible stable CAD. We review the key evidence to demonstrate that current best practice would focus on a patient first approach rather than a modality-specific approach.

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Title: Patient first versus computed tomography first strategy in testing for stable coronary artery disease: dispelling the prevailing myths and biases
Authors: Edward A. Hulten
Saurabh Malhotra
Suman Tandon
Publication date: 01-04-2021
Publisher: Springer International Publishing
Keywords: Computed Tomography
Computed Tomography
CT Angiography
Published in: Journal of Nuclear Cardiology / Issue 2/2021
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI: https://doi.org/10.1007/s12350-020-02519-0

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Patient first versus computed tomography first strategy in testing for stable coronary artery disease: dispelling the prevailing myths and biases

Abstract

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Springer Medicine

Abstract

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