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Diagnostic Strategies for the Evaluation of Chest Pain Clinical Implications From SCOT-HEART and PROMISE

Research output: Contribution to journalLiterature review

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Original languageEnglish
Pages (from-to)843-852
Number of pages10
JournalJournal of the American College of Cardiology
Volume67
Issue number7
DOIs
Publication statusPublished - 23 Feb 2016

Abstract

SCOT-HEART (Scottish COmputed Tomography of the HEART) and PROMISE (PROspective Multicenter Imaging Study for Evaluation of chest pain) represent the 2 largest and most comprehensive cardiovascular imaging outcome trials in patients with stable chest pain and provide significant insights into patient diagnosis, management, and outcomes. These trials are particularly timely, given the well-recognized knowledge gaps and widespread use of noninvasive imaging. The overall goal of this review is to distill the data generated from these 2 pivotal trials to better inform the practicing clinician in the selection of noninvasive testing for stable chest pain. Similarities and differences between SCOT-HEART and PROMISE are highlighted, and clinical and practical implications are discussed. Both trials show that coronary computed tomography angiography should have a greater role in the diagnostic pathway of patients with stable chest pain. (C) 2016 by the American College of Cardiology Foundation.

    Research areas

  • angina pectoris, coronary artery disease, noninvasive cardiac imaging, patient selection, CORONARY-ARTERY-DISEASE, COMPUTED TOMOGRAPHIC ANGIOGRAPHY, CARDIOVASCULAR MAGNETIC-RESONANCE, INCREMENTAL PROGNOSTIC VALUE, APPROPRIATE USE CRITERIA, CT ANGIOGRAPHY, STRESS ECHOCARDIOGRAPHY, EMERGENCY-DEPARTMENT, RISK STRATIFICATION, NUCLEAR CARDIOLOGY

ID: 25238508