Abstract
In this trial, the use of CTA in addition to standard care in patients with stable chest pain resulted in a significantly lower rate of death from coronary heart disease or nonfatal myocardial infarction at 5 years than standard care alone, without resulting in a significantly higher rate of coronary angiography or coronary revascularization. (Funded by the Scottish Government Chief Scientist Office and others; SCOT-HEART ClinicalTrials.gov number, NCT01149590 .).
Keywords
MedicineMyocardial infarctionCardiologyCoronary angiographyInternal medicineAngiographyRadiology
Related Publications
Clinical outcomes of fractional flow reserve by computed tomographic angiography-guided diagnostic strategies vs. usual care in patients with suspected coronary artery disease: the prospective longitudinal trial of FFR<sub>CT</sub>: outcome and resource impacts study
Computed tomographic angiography/fractional flow reserve by CTA was a feasible and safe alternative to ICA and was associated with a significantly lower rate of invasive angiogr...
Fractional Flow Reserve versus Angiography for Guiding Percutaneous Coronary Intervention
Routine measurement of FFR in patients with multivessel coronary artery disease who are undergoing PCI with drug-eluting stents significantly reduces the rate of the composite e...
Does Routine Pressure Wire Assessment Influence Management Strategy at Coronary Angiography for Diagnosis of Chest Pain?
Background— The use of coronary angiography (CA) for diagnosis and management of chest pain (CP) has several flaws. The assessment of coronary artery disease using fractional fl...
Long‐term outcomes following fractional flow reserve‐guided treatment of angiographically ambiguous left main coronary artery disease: A meta‐analysis of prospective cohort studies
Objective To define the long term outcomes of Fractional Flow Reserve (FFR) guided revascularization of ambiguous left main coronary artery (LMCA) lesions by performing a pooled...
2018 ESC/EACTS Guidelines on myocardial revascularization
Associations: Acute Cardiovascular Care Association (ACCA), European Association of Preventive Cardiology (EAPC), European Association of Cardiovascular Imaging (EACVI), Europea...
Publication Info
- Year
- 2018
- Type
- article
- Volume
- 379
- Issue
- 10
- Pages
- 924-933
- Citations
- 1246
- Access
- Closed
External Links
Social Impact
Altmetric
PlumX Metrics
Social media, news, blog, policy document mentions
Citation Metrics
1246
OpenAlex
Cite This
(2018).
Coronary CT Angiography and 5-Year Risk of Myocardial Infarction.
New England Journal of Medicine
, 379
(10)
, 924-933.
https://doi.org/10.1056/nejmoa1805971
Identifiers
- DOI
- 10.1056/nejmoa1805971