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- Publisher
- American Medical Association
- Copyright
- Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
- ISSN
- 0098-7484
- eISSN
- 1538-3598
- DOI
- 10.1001/jama.2016.12680
- pmid
- 27570866
- Publisher site
- See Article on Publisher Site
Abstract
Key PointsQuestionIn patients with suspected coronary heart disease, does a strategy involving cardiovascular magnetic resonance (CMR) result in less unnecessary angiography than a myocardial perfusion scintigraphy (MPS) strategy or a national guideline that included sending high-risk patients directly to angiography? FindingsIn this clinical trial, both CMR and MPS strategies significantly reduced unnecessary angiography rates compared with national guidelines (7.5% for CMR, 7.1% for MPS, 28.8% for national guidelines); no statistically significant differences were seen between CMR and MPS strategies. There was no statistically significant difference in major cardiovascular event rates at 12 months between the 3 groups. MeaningNoninvasive functional imaging strategies reduced unnecessary angiography compared with guidelines-directed care.
Journal
JAMA – American Medical Association
Published: Sep 13, 2016