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March 10, 2010New England Journal of Medicine1,672 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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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predictors of Non-Obstructive Coronary Artery Disease in Patients Undergoing Elective Coronary Angiography2023 · 4 citations
  2. 2Almanac 2011: Stable Coronary Artery Disease. the National Society Journals Present Selected Research That Has Driven Recent Advances in Clinical Cardiology2011
  3. 3Cardiac catheterization with normal coronary arteries: prevalence rate and analysis of predictor variables2020 · 5 citations
  4. 4The utility of a ‘non-significant’ coronary angiogram2015 · 2 citations
  5. 5Predictors and Prevalence of Obstructive Coronary Artery Disease in Patients Who Underwent Elective Invasive Coronary Angiography for Chronic Coronary Syndrome at Catheterization Laboratory of Tikur Anbessa Specialized Hospital and Gesund Cardiac and Medical Center, Addis Ababa Ethiopia: Retrospective Study2024