CCTA and Radionuclide Stress Testing Similar for Evaluation of Chest Pain


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Am Fam Physician. 2015 Dec 1;92(11):1022.

Clinical Question

Is coronary computed tomography angiography (CCTA) better than stress testing for detecting coronary artery disease?

Bottom Line

For the evaluation of chest pain in intermediate-risk patients, CCTA is comparable with myocardial perfusion imaging in its ability to select patients for invasive management. Both modalities are also similar when it comes to downstream resource use and adverse cardiovascular events. CCTA is associated with less radiation exposure. (Level of Evidence = 1b)


The effectiveness of a noninvasive coronary imaging modality lies in its ability to identify patients who will need invasive management. In this study, intermediate-risk patients

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For definitions of levels of evidence used in POEMs, see http://www.essentialevidenceplus.com/product/ebm_loe.cfm?show=oxford.

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This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of POEMs published in AFP is available at http://www.aafp.org/afp/poems.


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