Why the study?
Does 64-slice CT coronary angiography improve diagnostic accuracy compared to exercise ECG for detecting significant coronary artery stenosis in patients with chest pain and low-to-intermediate pre-test likelihood of CAD?
Population
177 consecutive patients with chest pain and low-to-intermediate pre-test likelihood of coronary artery…
Comparison
64-slice CT coronary angiography (CT-CA) vs Exercise ECG (ex-ECG)
Design
Cohort
Authors
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CT-CA may offer superior diagnostic accuracy to ex-ECG in this population; hypothesis-generating and should not yet alter clinical pathways.
Does 64-slice CT coronary angiography improve diagnostic accuracy compared to exercise ECG for detecting significant coronary artery stenosis in patients with chest pain and low-to-intermediate pre-test likelihood of CAD?
CT coronary angiography provides excellent diagnostic accuracy for detecting significant coronary stenosis in patients with atypical chest pain and low-to-intermediate risk, significantly outperforming exercise ECG.
Maffei et al. (2010) studied this question.
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