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
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.
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页数:3
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