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Coronary computed tomography angiography (CCTA) in patients with suspected stable coronary artery disease (CAD): diagnostic impact and clinical consequences in the German Cardiac CT Registry depending on stress test results
- Source :
- The International Journal of Cardiovascular Imaging. 35:741-748
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- To evaluate diagnostic impact of clinical use of coronary computed tomography angiography (CCTA) in patients with suspected stable coronary artery disease (CAD) and its consequences in daily practice for patient management, depending on stress test results in daily practice. Between 2009 and 2014 of a total population of 1352 patients of the German Cardiac Computed Tomography (CT) Registry who had previously undergone stress tests, CCTA visualizations were carried out on the coronary arteries with suspected stable CAD. Patients were divided into three groups according to stress test results: Group 1 with inconclusive (n = 178, 13.2%), Group 2 with ischemia in stress test (n = 372, 27.5%) and Group 3 without ischemia in stress test (n = 802, 59.3%). The test of preference was the stress electrocardiogram (ECG), which was performed more frequently in patients without ischemia in stress test as compared to those with ischemia (96.3% vs. 93.0%, p = 0.015). The incidence of detected obstructive CAD was lower in patients with suggested ischemia in stress test as compared to patients with inconclusive results (14.1% vs. 21.1%, p = 0.037). There was no difference in the incidence of an obstructive CAD in patients with and without ischemia in stress test (14.1% vs. 15.8%, p = 0.440). CCTA is a reliable, non-invasive option for ruling-out obstructive CAD irrespective of the stress test result.
- Subjects :
- Male
medicine.medical_specialty
Computed Tomography Angiography
Clinical Decision-Making
Ischemia
CAD
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary Angiography
030218 nuclear medicine & medical imaging
Coronary artery disease
Electrocardiography
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Stress test
Germany
Internal medicine
Multidetector Computed Tomography
medicine
Humans
Radiology, Nuclear Medicine and imaging
Registries
cardiovascular diseases
Cardiac imaging
Aged
business.industry
Incidence (epidemiology)
Reproducibility of Results
Middle Aged
Prognosis
medicine.disease
Coronary arteries
Pre- and post-test probability
medicine.anatomical_structure
Exercise Test
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15730743 and 15695794
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- The International Journal of Cardiovascular Imaging
- Accession number :
- edsair.doi.dedup.....7964e03e56a53b9f8ae55eeff775618e