Diagnostic Strategies for the Evaluation of Chest Pain Clinical Implications From SCOT-HEART and PROMISE

被引：47
作者：
Fordyce, Christopher B. [1 ]
Newby, David E. [2 ]
Douglas, Pamela S. [1 ]
机构：
[1] Duke Clin Res Inst, 2400 Pratt St, Durham, NC 27705 USA
[2] Univ Edinburgh, Ctr Cardiovasc Sci, British Heart Fdn, Edinburgh, Midlothian, Scotland
来源：
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2016年 / 67卷 / 07期
关键词：
angina pectoris; coronary artery disease; noninvasive cardiac imaging; patient selection; CORONARY-ARTERY-DISEASE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; INCREMENTAL PROGNOSTIC VALUE; APPROPRIATE USE CRITERIA; CT ANGIOGRAPHY; STRESS ECHOCARDIOGRAPHY; EMERGENCY-DEPARTMENT; MEDICAL THERAPY; CARDIAC CT; RISK;
D O I：
10.1016/j.jacc.2015.11.055
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
SCOT-HEART (Scottish COmputed Tomography of the HEART) and PROMISE (PROspective Multicenter Imaging Study for Evaluation of chest pain) represent the 2 largest and most comprehensive cardiovascular imaging outcome trials in patients with stable chest pain and provide significant insights into patient diagnosis, management, and outcomes. These trials are particularly timely, given the well-recognized knowledge gaps and widespread use of noninvasive imaging. The overall goal of this review is to distill the data generated from these 2 pivotal trials to better inform the practicing clinician in the selection of noninvasive testing for stable chest pain. Similarities and differences between SCOT-HEART and PROMISE are highlighted, and clinical and practical implications are discussed. Both trials show that coronary computed tomography angiography should have a greater role in the diagnostic pathway of patients with stable chest pain. (C) 2016 by the American College of Cardiology Foundation.
引用
收藏
页码：843 / 852
页数：10
相关论文
共 44 条
[1]  
[Anonymous], 2010, Chest Pain of Recent Onset
[2]   Risk stratification using stress echocardiography: Incremental prognostic value over historic, clinical, and stress electrocardiographic variables across a wide spectrum of Bayesian pretest probabilities for coronary artery disease [J].
Bangalore, Sripal ;
Gopinath, Devi ;
Yao, Siu-Sun ;
Chaudhry, Farooq A. .
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2007, 20 (03) :244-252
[3]   Value of rapid-access chest pain clinics [J].
Boyle, Roger M. .
HEART, 2007, 93 (04) :415-416
[4]   Normal Coronary Rates for Elective Angiography in the Veterans Affairs Healthcare System Insights From the VA CART Program (Veterans Affairs Clinical Assessment Reporting and Tracking) [J].
Bradley, Steven M. ;
Maddox, Thomas M. ;
Stanislawski, Maggie A. ;
O'Donnell, Colin I. ;
Grunwald, Gary K. ;
Tsai, Thomas T. ;
Ho, P. Michael ;
Peterson, Eric D. ;
Rumsfeld, John S. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 63 (05) :417-426
[5]   Changes in Preventive Medical Therapies and CV Risk Factors After CT Angiography [J].
Cheezum, Michael K. ;
Hulten, Edward A. ;
Smith, Ryan M. ;
Taylor, Allen J. ;
Kircher, Jacqueline ;
Surry, Luke ;
York, Matthew ;
Villines, Todd C. .
JACC-CARDIOVASCULAR IMAGING, 2013, 6 (05) :574-581
[6]   Performance of the Traditional Age, Sex, and Angina Typicality-Based Approach for Estimating Pretest Probability of Angiographically Significant Coronary Artery Disease in Patients Undergoing Coronary Computed Tomographic Angiography Results From the Multinational Coronary CT Angiography Evaluation for Clinical Outcomes: An Internation Multicenter Registry (CONFIRM) [J].
Cheng, Victor Y. ;
Berman, Daniel S. ;
Rozanski, Alan ;
Dunning, Allison M. ;
Achenbach, Stephan ;
Al-Mallah, Mouaz ;
Budoff, Matthew J. ;
Cademartiri, Filippo ;
Callister, Tracy Q. ;
Chang, Hyuk-Jae ;
Chinnaiyan, Kavitha ;
Chow, Benjamin J. W. ;
Delago, Augustin ;
Gomez, Millie ;
Hadamitzky, Martin ;
Hausleiter, Joerg ;
Karlsberg, Ronald P. ;
Kaufmann, Philipp ;
Lin, Fay Y. ;
Maffei, Erica ;
Raff, Gilbert L. ;
Villines, Todd C. ;
Shaw, Leslee J. ;
Min, James K. .
CIRCULATION, 2011, 124 (22) :2424-+
[7]   Coronary Computed Tomographic Angiography and Risk of All-Cause Mortality and Nonfatal Myocardial Infarction in Subjects Without Chest Pain Syndrome From the CONFIRM Registry (Coronary CT Angiography Evaluation for Clinical Outcomes: An International Multicenter Registry) [J].
Cho, Iksung ;
Chang, Hyuk-Jae ;
Sung, Ji Min ;
Pencina, Michael J. ;
Lin, Fay Y. ;
Dunning, Allison M. ;
Achenbach, Stephan ;
Al-Mallah, Mouaz ;
Berman, Daniel S. ;
Budoff, Matthew J. ;
Callister, Tracy Q. ;
Chow, Benjamin J. W. ;
Delago, Augustin ;
Hadamitzky, Martin ;
Hausleiter, Joerg ;
Maffei, Erica ;
Cademartiri, Filippo ;
Kaufmann, Philipp ;
Shaw, Leslee J. ;
Raff, Gil L. ;
Chinnaiyan, Kavitha M. ;
Villines, Todd C. ;
Cheng, Victor ;
Nasir, Khurram ;
Gomez, Millie ;
Min, James K. .
CIRCULATION, 2012, 126 (03) :304-+
[8]   The clinical characteristics and investigations planned in patients with stable angina presenting to cardiologists in Europe: from the Euro Heart Survey of Stable Angina [J].
Daly, CA ;
Clemens, F ;
Sendon, JLL ;
Tavazzi, L ;
Boersma, E ;
Danchin, N ;
Delahaye, F ;
Gitt, A ;
Julian, D ;
Mulcahy, D ;
Ruzyllo, W ;
Thygesen, K ;
Verheugt, F ;
Fox, KM .
EUROPEAN HEART JOURNAL, 2005, 26 (10) :996-1010
[9]   Improving imaging - Our professional imperative [J].
Douglas, Pamela S. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 48 (10) :2152-2155
[10]   Clinical outcomes of fractional flow reserve by computed tomographic angiography-guided diagnostic strategies vs. usual care in patients with suspected coronary artery disease: the prospective longitudinal trial of FFRCT: outcome and resource impacts study [J].
Douglas, Pamela S. ;
Pontone, Gianluca ;
Hlatky, Mark A. ;
Patel, Manesh R. ;
Norgaard, Bjarne L. ;
Byrne, Robert A. ;
Curzen, Nick ;
Purcell, Ian ;
Gutberlet, Matthias ;
Rioufol, Gilles ;
Hink, Ulrich ;
Schuchlenz, Herwig Walter ;
Feuchtner, Gudrun ;
Gilard, Martine ;
Andreini, Daniele ;
Jensen, Jesper M. ;
Hadamitzky, Martin ;
Chiswell, Karen ;
Cyr, Derek ;
Wilk, Alan ;
Wang, Furong ;
Rogers, Campbell ;
De Bruyne, Bernard .
EUROPEAN HEART JOURNAL, 2015, 36 (47) :3359-3367
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