Coronary Computed Tomography Angiography Improving Outcomes in Patients with Chest Pain

被引：6
|
作者：
Tzolos, Evangelos [1 ]
Newby, David E. [1 ]
机构：
[1] Univ Edinburgh, Ctr Cardiovasc Sci, British Heart Fdn, Chancellors Bldg, Edinburgh EH16 4SA, Midlothian, Scotland
来源：
CURRENT CARDIOVASCULAR IMAGING REPORTS | 2019年 / 12卷 / 05期
基金：
英国惠康基金;
关键词：
Computed tomography coronary angiography; Coronary artery disease; Exercise electrocardiography; Stress echocardiography; Myocardial perfusion imaging; Cardiac magnetic resonance imaging; MYOCARDIAL-PERFUSION SCINTIGRAPHY; CARDIAC MAGNETIC-RESONANCE; ARTERY-DISEASE; DIAGNOSTIC PERFORMANCE; PROGNOSTIC VALUE; CT ANGIOGRAPHY; RISK-FACTORS; COST-EFFECTIVENESS; CLINICAL-OUTCOMES; METAANALYSIS;
D O I：
10.1007/s12410-019-9492-6
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Purpose of ReviewTo provide an overview of recent studies of coronary computed tomography angiography (CCTA) and how it has helped to improve clinical outcomes for patients presenting with chest pain.Recent FindingsRandomised controlled trials have uniformly demonstrated that the use of CCTA is associated with improvements in patient diagnosis, management and treatments as well as the avoidance of unnecessary invasive coronary angiography. These changes have been associated with consistent reductions in long-term rates of fatal or non-fatal myocardial infarction.SummaryMajor beneficial effects in clinical management and patient outcomes are seen with the use of coronary computed tomography angiography. CCTA might be considered to be the first test of choice for the investigation of coronary heart disease.
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页数：10
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