Nuclear cardiology will remain the “gatekeeper” over CT angiography
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Although CTA is a promising new modality, from an evidence-based point of view there is no data to support its use in a testing strategy, its accuracy is unlikely to be sufficiently similar to invasive catheterization to be considered its equivalent, and most importantly, it appears that stress perfusion data will be needed to select which patients may most benefit from revascularization and, hence, referral to the catheterization laboratory.
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- 1.Yusuf S, Zucker D, Peduzzi P, Fisher LD, Takaro T, Kennedy JW, et al. Effect of coronary artery bypass graft surgery on survival overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration [published erratum appears in Lancet 1994;344:1446]. Lancet 1994; 344:563–70.PubMedCrossRefGoogle Scholar
- 6.Smith LR, Harrell FEJr, Rankin JS, Califf RM, Pryor DB, Muhlbaier LH, et al. Determinants of early versus late cardiac death in patients undergoing coronary artery bypass graft surgery. Circulation 1991;84(Suppl):II1245–53.Google Scholar
- 8.Leber AW, Knez A, von Ziegler F, Becker A, Nikolaou K, Paul S, et al. Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography: a comparative study with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol 2005;46:147–54.PubMedCrossRefGoogle Scholar
- 13.Shaw LJ, Hachamovitch R, Berman DS, Marwick TH, Lauer MS, Heller GV, et al. The economic consequences of available diagnostic and prognostic strategies for the evaluation of stable angina patients: an observational assessment of the value of precatheterization ischemia. Economics of Noninvasive Diagnosis (END) Multicenter Study Group. J Am Coll Cardiol 1999;33:661–9.PubMedCrossRefGoogle Scholar
- 14.Berman DS, Hachamovitch R, Shaw LJ, Germano G, Hayes S. Nuclear cardiology. In: Fuster V, Alexander RW, King S, O’Rourke RA, Wellens HJJ, editors, Hurst’s the heart. New York: McGraw-Hill, 2004. p. 525–65.Google Scholar
- 16.Weiner DA, Ryan TJ, McCabe CH, Chaitman BR, Sheffield LT, Fisher LD, et al. Value of exercise testing in determining the risk classification and the response to coronary artery bypass grafting in three-vessel coronary artery disease: a report from the Coronary Artery Surgery Study (CASS) registry. Am J Cardiol 1987;60: 262–6.PubMedCrossRefGoogle Scholar
- 17.Hachamovitch R, Hayes SW, Friedman JD, Cohen I, Berman DS. Comparison of the short-term survival benefit associated with revascularization compared with medical therapy in patients with no prior coronary artery disease undergoing stress myocardial perfusion single photon emission computed tomography. Circulation 2003;107:2900–7.PubMedCrossRefGoogle Scholar
- 18.Hachamovitch R, Hayes S, Friedman JD, Cohen I, Berman DS, Relative role of inducible ischemia versus ejection fraction in the prediction of survival benefit with revascularization compared to medical therapy in patients with no prior revascularization under-going stress myocardial perfusion SPECT. J Nucl Cardiol 2006;13:768–78.PubMedCrossRefGoogle Scholar
- 19.Borges-Neto S, Shaw LK, Tuttle RH, Alexander JH, Smith WT, Chambless M, et al. Incremental prognostic power of single-photon emission computed tomographic myocardial perfusion imaging in patients with known or suspected coronary artery disease. Am J Cardiol 2005;95:182–8.PubMedCrossRefGoogle Scholar
- 20.Kern MJ, Lerman A, Bech JW, De Bruyne B, Beckhout E, Fearon WF, et al. Physiological assessment of coronary artery disease in the cardiac catheterization laboratory: a scientific statement from the American Heart Association Committee on Diagnostic and Interventional Cardiac Catheterization. Council on Clinical Cardiology. Circulation 2006;114:1321–41.PubMedCrossRefGoogle Scholar
- 25.Ragosta M, Bishop AH, Lipson LC, Watson DD, Gimple LW, Sarembock IJ, et al. Comparison between angiography and fractional flow reserve versus single-photon emission computed tomographic myocardial perfusion imaging for determining lesion significance in patients with multivessel coronary disease. Am J Cardiol 2007;99:896–902.PubMedCrossRefGoogle Scholar
- 29.Morrow DA, Gersh BJ, Braunwald E. Chronic coronary artery disease. In: Zipes DP, Libby P, Bonow R, Brainwald E, editors. Braunwald’s heart disease: a textbook of cardiovascular medicine 7th ed. New York: Saunders; 2004. p. 1281–1335.Google Scholar