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March 10, 2010New England Journal of Medicine1,671 citationsOpen Access

Low Diagnostic Yield of Elective Coronary Angiography

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MPManesh R. PatelEPEric D. PetersonDDDavid Dai

Key Points

  • To assess the diagnostic yield of elective cardiac catheterization in identifying obstructive coronary artery disease among patients without known prior disease.
  • Evaluated patients without previously established coronary disease undergoing elective cardiac catheterization in routine clinical practice.

Structured PICO

What is the diagnostic yield of elective cardiac catheterization in patients without known coronary disease?

P
Population
Patients without known disease who underwent elective cardiac catheterization
I
Intervention
Elective cardiac catheterization (coronary angiography)
O
Outcome
Presence of obstructive coronary artery diseasesurrogate

The diagnostic yield of elective coronary angiography in patients without known disease is low, highlighting the need for better risk stratification strategies prior to invasive testing.

Abstract

In this study, slightly more than one third of patients without known disease who underwent elective cardiac catheterization had obstructive coronary artery disease. Better strategies for risk stratification are needed to inform decisions and to increase the diagnostic yield of cardiac catheterization in routine clinical practice.

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Cite This Study

Patel et al. (2010) studied this question.

synapsesocial.com/papers/69d9d7e48fbc15f99e68429ehttps://doi.org/10.1056/nejmoa0907272
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