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Diagnostic Tests

CCTA to Evaluate for Coronary Artery Stenosis in Intermediate-Risk Patients With Stable Chest Pain

Allison Karlan Kaplan, MD
Nicholas Whitbeck, OMS4

American Family Physician. 2024;110(3):298-300.

Author disclosure: No relevant financial relationships.

ALLISON KARLAN KAPLAN, MD, FAAFP, Mountain Vista Medical Center Family Medicine Residency, Mesa, Arizona.

NICHOLAS WHITBECK, OMS4, Midwestern University, Glendale, Arizona.

Author disclosure: No relevant financial relationships.

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  2. 2.Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/Chest/SAEM/SCCT/SCMR guideline for the evaluation and diagnosis of chest pain: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines [published corrections appear in Circulation. 2021;144(22):e455 and Circulation. 2023;148(24):e281]. Circulation. 2021;144(22):e368-e454.
  3. 3.Cury RC, Abbara S, Achenbach S, et al. CAD-RADSTM coronary artery disease - reporting and data system. J Cardiovasc Comput Tomogr. 2016;10(4):269-281.
  4. 4.de Graaf FR, Schuijf JD, van Velzen JE, et al. Diagnostic accuracy of 320-row multidetector computed tomography coronary angiography in the non-invasive evaluation of significant coronary artery disease. Eur Heart J. 2010;31(15):1908-1915.
  5. 5.Nielsen LH, Ortner N, Nørgaard BL, et al. The diagnostic accuracy and outcomes after coronary computed tomography angiography vs. conventional functional testing in patients with stable angina pectoris: a systematic review and meta-analysis. Eur Heart J Cardiovasc Imaging. 2014;15(9):961-971.
  6. 6.Aziz MU, Singh S. Computed tomography of coronary artery atherosclerosis: a review. J Med Imaging Radiat Sci. 2021;52(3S):S19-S39.
  7. 7.Schönenberger E, Schnapauff D, Teige F, et al. Patient acceptance of noninvasive and invasive coronary angiography. PLoS One. 2007;2(2):e246.
  8. 8.Al-Abdouh A, Mhanna M, Jabri A, et al. Meta-analysis of coronary computed tomography versus invasive coronary angiography in stable chest pain. Am J Cardiol. 2022;183:153-154.
  9. 9.Newby DE, Adamson PD, Berry C, et al.; SCOT-HEART Investigators. Coronary CT angiography and 5-year risk of myocardial infarction. N Engl J Med. 2018;379(10):924-933.
  10. 10.Patel MR, Peterson ED, Dai D, et al. Low diagnostic yield of elective coronary angiography [published correction appears in N Engl J Med. 2010;363(5):498]. N Engl J Med. 2010;362(10):886-895.
  11. 11.Maurovich-Horvat P, Bosserdt M, Kofoed KF, et al.; DISCHARGE Trial Group. CT or invasive coronary angiography in stable chest pain. N Engl J Med. 2022;386(17):1591-1602.
  12. 12.Burch RA, Siddiqui TA, Tou LC, et al. The cost effectiveness of coronary CT angiography and the effective utilization of CT-fractional flow reserve in the diagnosis of coronary artery disease. J Cardiovasc Dev Dis. 2023;10(1):25.
  13. 13.Budoff MJ, Dowe D, Jollis JG, et al. Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol. 2008;52(21):1724-1732.
  14. 14.Sun Z, Almutairi AMD. Diagnostic accuracy of 64 multislice CT angiography in the assessment of coronary in-stent restenosis: a meta-analysis. Eur J Radiol. 2010;73(2):266-273.
  15. 15.MDsave. CT angiography. Accessed May 12, 2024. https://www.mdsave.com/procedures/ct-angiography/d786ffc9
  16. 16.Centers for Medicare and Medicaid Services. License for use of current procedural terminology, fourth edition (“CPT”). Accessed May 12, 2024. https://www.cms.gov/medicare/physician-fee-schedule/search

This series is coordinated by Natasha Pyzocha, DO, contributing editor.

A collection of Diagnostic Tests published in AFP is available at https://www.aafp.org/afp/diagnostic.

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