Growing Evidence for Coronary Computed Tomography Angiography as a First-line Test in Stable Chest Pain

Christopher D. Maroules, Prabhakar Rajiah, Mohit Bhasin, Suhny Abbara

Research output: Contribution to journalArticle

Abstract

Coronary computed tomography angiography (CCTA) is a validated technique for the evaluation of patients with suspected coronary artery disease, showing high accuracy compared with invasive coronary angiography and high negative predictive value. CCTA is also well positioned as a first-line test for the evaluation of stable chest pain. This purpose of this review is to examine the evidence behind CCTA in the setting of stable chest pain, with attention to 5 key strengths of a CCTA-based approach: (1) effective gatekeeping to cardiac catheterization, (2) selective discrimination for revascularization and tailored medical therapy, (3) advanced risk stratification, (4) improvement in outcomes, and (5) support from multisociety guidelines. Given the expansion of CT technologies to include functional strategies for evaluating ischemia both with and without vasodilators, CCTA is poised to become the comprehensive examination for stable chest pain and anginal equivalent cardiopulmonary symptoms.

Original languageEnglish (US)
JournalJournal of Thoracic Imaging
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Chest Pain
Gatekeeping
Cardiac Catheterization
Coronary Angiography
Vasodilator Agents
Coronary Artery Disease
Ischemia
Computed Tomography Angiography
Guidelines
Technology
Therapeutics

Keywords

  • cardiac computed tomography
  • coronary computed tomography angiography
  • Stable chest pain

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pulmonary and Respiratory Medicine

Cite this

Growing Evidence for Coronary Computed Tomography Angiography as a First-line Test in Stable Chest Pain. / Maroules, Christopher D.; Rajiah, Prabhakar; Bhasin, Mohit; Abbara, Suhny.

In: Journal of Thoracic Imaging, 01.01.2018.

Research output: Contribution to journalArticle

@article{9d587503397049a3aa076369064af641,
title = "Growing Evidence for Coronary Computed Tomography Angiography as a First-line Test in Stable Chest Pain",
abstract = "Coronary computed tomography angiography (CCTA) is a validated technique for the evaluation of patients with suspected coronary artery disease, showing high accuracy compared with invasive coronary angiography and high negative predictive value. CCTA is also well positioned as a first-line test for the evaluation of stable chest pain. This purpose of this review is to examine the evidence behind CCTA in the setting of stable chest pain, with attention to 5 key strengths of a CCTA-based approach: (1) effective gatekeeping to cardiac catheterization, (2) selective discrimination for revascularization and tailored medical therapy, (3) advanced risk stratification, (4) improvement in outcomes, and (5) support from multisociety guidelines. Given the expansion of CT technologies to include functional strategies for evaluating ischemia both with and without vasodilators, CCTA is poised to become the comprehensive examination for stable chest pain and anginal equivalent cardiopulmonary symptoms.",
keywords = "cardiac computed tomography, coronary computed tomography angiography, Stable chest pain",
author = "Maroules, {Christopher D.} and Prabhakar Rajiah and Mohit Bhasin and Suhny Abbara",
year = "2018",
month = "1",
day = "1",
doi = "10.1097/RTI.0000000000000357",
language = "English (US)",
journal = "Journal of Thoracic Imaging",
issn = "0883-5993",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Growing Evidence for Coronary Computed Tomography Angiography as a First-line Test in Stable Chest Pain

AU - Maroules, Christopher D.

AU - Rajiah, Prabhakar

AU - Bhasin, Mohit

AU - Abbara, Suhny

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Coronary computed tomography angiography (CCTA) is a validated technique for the evaluation of patients with suspected coronary artery disease, showing high accuracy compared with invasive coronary angiography and high negative predictive value. CCTA is also well positioned as a first-line test for the evaluation of stable chest pain. This purpose of this review is to examine the evidence behind CCTA in the setting of stable chest pain, with attention to 5 key strengths of a CCTA-based approach: (1) effective gatekeeping to cardiac catheterization, (2) selective discrimination for revascularization and tailored medical therapy, (3) advanced risk stratification, (4) improvement in outcomes, and (5) support from multisociety guidelines. Given the expansion of CT technologies to include functional strategies for evaluating ischemia both with and without vasodilators, CCTA is poised to become the comprehensive examination for stable chest pain and anginal equivalent cardiopulmonary symptoms.

AB - Coronary computed tomography angiography (CCTA) is a validated technique for the evaluation of patients with suspected coronary artery disease, showing high accuracy compared with invasive coronary angiography and high negative predictive value. CCTA is also well positioned as a first-line test for the evaluation of stable chest pain. This purpose of this review is to examine the evidence behind CCTA in the setting of stable chest pain, with attention to 5 key strengths of a CCTA-based approach: (1) effective gatekeeping to cardiac catheterization, (2) selective discrimination for revascularization and tailored medical therapy, (3) advanced risk stratification, (4) improvement in outcomes, and (5) support from multisociety guidelines. Given the expansion of CT technologies to include functional strategies for evaluating ischemia both with and without vasodilators, CCTA is poised to become the comprehensive examination for stable chest pain and anginal equivalent cardiopulmonary symptoms.

KW - cardiac computed tomography

KW - coronary computed tomography angiography

KW - Stable chest pain

UR - http://www.scopus.com/inward/record.url?scp=85053015858&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053015858&partnerID=8YFLogxK

U2 - 10.1097/RTI.0000000000000357

DO - 10.1097/RTI.0000000000000357

M3 - Article

C2 - 30157094

JO - Journal of Thoracic Imaging

JF - Journal of Thoracic Imaging

SN - 0883-5993

ER -