Low Diagnostic Yield of Elective Coronary Angiography

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Low Diagnostic Yield of Elective Coronary Angiography

From the Duke Clinical Research Institute, Duke University, Durham, NC (M.R.P., E.D.P., D.D., J.M.B., P.S.D.); University of California at San Francisco, San Francisco (R.F.R., R.G.B.); and the University of Texas Health Science Center, Houston (H.V.A.). Address reprint requests to Dr. Patel at the Duke Clinical Research Institute, Duke University Medical Center, P.O. Box 17969, Durham, NC 2771...

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Low diagnostic yield of elective coronary angiography.

BACKGROUND Guidelines for triaging patients for cardiac catheterization recommend a risk assessment and noninvasive testing. We determined patterns of noninvasive testing and the diagnostic yield of catheterization among patients with suspected coronary artery disease in a contemporary national sample. METHODS From January 2004 through April 2008, at 663 hospitals in the American College of C...

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Low diagnostic yield of coronary angiography or not catching up with heart disease pathophysiology?

Fifty years after its introduction, coronary angiography remains the reference technique to assess coronary anatomy. Its impact on the diagnosis and management of ischemic heart disease (IHD) is corroborated by the fact that coronary angiography is still essential for aortocoronary bypass grafting and for percutaneous coronary interventions. Given the invasiveness and the measurable risk associ...

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A prioritisation system for elective coronary angiography.

OBJECTIVE To devise a clinical prioritisation system for rationing access to a cardiac catheter waiting list and to describe its performance at predicting angiographic findings and selecting patients for angioplasty or coronary artery bypass graft surgery. SETTING Tertiary level cardiology centre. METHODS (1) 665 consecutive patients on an elective waiting list for coronary angiography were...

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Non-invasive nuclear myocardial perfusion imaging improves the diagnostic yield of invasive coronary angiography.

AIMS Several studies reported on the moderate diagnostic yield of elective invasive coronary angiography (ICA) regarding the presence of coronary artery disease (CAD), but limited data are available on how prior testing for ischaemia may contribute to improve the diagnostic yield in an every-day clinical setting. This study aimed to assess the value and use of cardiac myocardial perfusion singl...

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ژورنال

عنوان ژورنال: New England Journal of Medicine

سال: 2010

ISSN: 0028-4793,1533-4406

DOI: 10.1056/nejmoa0907272