Centralized Triage of Suspected Coronary Artery Disease Using Coronary Computed Tomographic Angiography to Optimize the Diagnostic Yield of Invasive Angiography

Schwalm, Jon David; Bouck, Zachary; Natarajan, Madhu K.; Pinilla, Natalia; Walker, D.; Syed, Nida; Landry, David; Sabri, Ali; Tandon, Vikas; Nkurunziza, James; Taljaard, Monica; Sheth, Tej

doi:10.1016/j.cjco.2022.10.009

Cited by 3 publications

(1 citation statement)

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“…Этот новый процесс сортировки привел к снижению более чем на 70% числа проведенных КАГ в данной группе. Диагностическая ценность плановой КАГ в выявлении обструктивной ИБС в этой популяции увеличилась с 27% до внедрения до 67% после внедрения процесса сортировки [45].…”

Section: кт-коронарография как "привратник" (Gatekeeper)unclassified

Diagnostic algorithms in patients with chronic coronary syndromes — what does clinical practice show?

Sumin

2023

Russ J Cardiol

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The European Society of Cardiology (ESC) 2019 guidelines propose a novel diagnostic algorithm for examining stable patients with suspected coronary artery disease (CAD). In retrospective analysis of previous studies, a new pretest probability scale was validated and a method for assessing clinical probability of obstructive CAD was proposed, taking into account risk factors and coronary artery calcium score. The results were studied in the EURECA multicenter registry, and the ESC-2019 diagnostic algorithm was compared with other known algorithms. The review details the results of these recently published studies, emphasizing the role of calcium score assessment in identifying low-risk patients for obstructive CAD. The review also considers publications using computed tomography coronary angiography as a "gatekeeper" among patients selected for invasive coronary angiography. The results obtained showed the effectiveness of novel diagnostic strategies in increasing the detection rate of obstructive CAD. However, clinical outcomes of any diagnostic algorithm are few and require further study, as well as their cost-effectiveness.

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Section: кт-коронарография как "привратник" (Gatekeeper)unclassified