共 21 条
CT coronary angiography: a paradigm shift for functional imaging tests
被引:9
作者:
Alfakih, Khaled
[1
,2
]
Byrne, Jonathan
[2
]
Monaghan, Mark
[2
]
机构:
[1] Univ Hosp Lewisham, Dept Cardiol, London, England
[2] Kings Coll Hosp London, Dept Cardiol, London, England
来源:
关键词:
D O I:
10.1136/openhrt-2017-000754
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
The UK National Institute for Health and Care Excellence (NICE) have just updated their guideline on new-onset stable chest pain, recommending that all patients should be investigated with a CT coronary angiography (CTCA). In a separate guideline, NICE recommended CT fractional flow reserve (CT-FFR), to assess coronary stenoses, found on CTCA, stating that this would reduce the need for invasive coronary angiography and hence reduce cost. We discuss the evidence base for CT-FFR and emphasise that we already have established functional imaging tests, with extensive evidence base for efficacy and prognosis and that CT-FFR should be compared with this standard of care and not with the much more expensive and invasive fractional flow reserve undertaken during invasive coronary angiography.
引用
收藏
页数:3
相关论文