From the USA: CT Appears to Be the Best First Strategy for Evaluating Stable Chest Pain

A “computed tomography (CT)-first” strategy may be the best way to determine if stable chest pain patients need revascularization, according to a study presented at the American College of Cardiology Cardiovascular Summit 2024, which took place Feb. 1 to 3 in Washington, D.C.

William E. Downey, M.D., from Atrium Health Sanger Heart & Vascular Institute in Charlotte, North Carolina, and colleagues assessed whether a “CT-first” strategy versus functional testing or no testing is associated with higher rates of subsequent revascularization after invasive coronary angiography (ICA) in clinical practice. The analysis included 786 consecutive patients who had no prior diagnosis of coronary artery disease and were referred for elective ICA to evaluate chest pain.

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