EDITORIAL Coronary computed tomography angiography: How should we act on what we ﬁnd? a,b c Marcio Sommer Bittencourt, MD, MPH, PhD, and Ron Blankstein, MD Center for Clinical and Epidemiological Research, University Hospital and State of Sa˜o Paulo Cancer Institute (ICESP), University of Sa˜o Paulo, Sa˜o Paulo, Brazil Preventive Medicine Center, Hospital Israelita Albert Einstein, Sa˜o Paulo, Brazil Non-Invasive Cardiovascular Imaging Program, Departments of Medicine (Cardiovascular Division) and Radiology, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA Received Mar 21, 2016; accepted Mar 29, 2016 doi:10.1007/s12350-016-0494-3 due to over-estimation of risk among patients referred See related article, pp. 1267–1278 for non-invasive imaging in contemporary practice). Finally, the rate of invasive coronary angiography (ICA) and coronary revascularization is higher among patients Coronary computed tomography angiography randomized to coronary CTA. Since the increase in (CTA) has progressed from an experimental imaging these procedures is not associated with a meaningful technique to a commonly performed clinical exam in reduction in events, the ideal strategy to evaluate indi- less than 20 years. This rapid evolution was enabled by vidual with chest pain of suspected cardiac origin 1,2 studies documenting excellent diagnostic accuracy as remains a topic of intense debate. well as
Journal of Nuclear Cardiology – Springer Journals
Published: Apr 12, 2016
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