July 30, 2003New England Journal of Medicine
Selecting Asymptomatic Patients for Coronary Computed Tomography or Electrocardiographic Exercise Testing
Why the study?
Should a healthy, asymptomatic 40-year-old man undergo coronary computed tomography or electrocardiographic exercise testing to refine coronary risk assessment?
Population
Healthy 40-year-old man who exercises regularly, uses no tobacco, and has no cardiac symptoms or family…
Design
Review
Authors
Discussion
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Implication
Utility of coronary CT or exercise ECG screening in asymptomatic low-risk adults remains uncertain; leaves open need for randomized trials.
Structured PICO
Should a healthy, asymptomatic 40-year-old man undergo coronary computed tomography or electrocardiographic exercise testing to refine coronary risk assessment?
P
Population
Healthy 40-year-old man who exercises regularly, uses no tobacco, and has no cardiac symptoms or family history of coronary disease.
I
Intervention
Coronary computed tomography or electrocardiographic exercise testing
O
Outcome
Refinement of coronary risk assessment
The abstract poses a clinical vignette regarding the utility of screening asymptomatic, low-risk individuals with coronary CT or exercise ECG for risk refinement.
Cite This Study
Greenland et al. (2003) studied this question.