期刊
ATHEROSCLEROSIS
卷 385, 期 -, 页码 -出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.atherosclerosis.2023.117315
关键词
Stable chest pain; Coronary CT angiography; SPECT; PET
In patients with chest pain, guidelines recommend using coronary computed tomography angiography and single-photon emission tomography/positron emission tomography as diagnostic tests. However, there is no clear recommendation on which test to use as a first-line option. The choice should be based on individualized risk assessment, patient characteristics, local expertise/availability, and patient preferences.
In patients presenting with chest pain, current guidelines recommend the use of coronary computed tomography angiography and single-photon emission tomography/positron emission tomography, both with equal class 1 indication and level of evidence A. There is no clear recommendation on which test should be used as a first-line test. The choice of the test should be based on individualized clinical risk assessment, patient characteristics, local expertise/availability, and patient preferences. In this context, it is fair to ask which non-invasive imaging test to choose. The debate reproduced in this article answers this question by summarizing the considerations in selecting present state-of-the-art criteria of the right test for the right patient to ensure efficient resource utilization, minimize unnecessary testing, and maximize diagnostic accuracy and therapeutic efficacy.
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