| Is elective coronary angiography overused in patients with suspected coronary artery disease? | |
| | |
MedLine Citation:
|
PMID: 20608817 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
|
Evaluation of: Patel M, Peterson E, Dai D et al.: Low diagnostic yield of elective coronary angiography. N. Engl. J. Med. 362, 886-895 (2010). Guidelines for triaging patients for cardiac catheterization recommend risk assessment and noninvasive testing. The article by Patel et al. analyzes 398,978 patients and shows that only 37.6% had obstructive coronary artery disease at catheterization. No coronary artery stenosis (defined as <20% stenosis in all vessels) was reported in 39.2% of the patients. Independent predictors of obstructive coronary artery disease included male sex (odds ratio [OR]: 2.70; 95% CI: 2.64-2.76), older age (OR: 1.29; 95% CI: 1.28-1.30), presence of diabetes (OR: 2.14; 95% CI: 2.07-2.21) and dyslipidemia (OR: 1.62; 95% CI: 1.57-1.67). Patients with a positive result on a noninvasive test were moderately more likely to have obstructive coronary artery disease than those who did not undergo any testing (41 vs 35%; p < 0.001; adjusted OR: 1.28; 95% CI: 1.19-1.37). However, an angiogram's results do not tell us whether it was appropriately ordered. As the noninvasive testing variable included a wide range of procedures, we cannot speculate from the data how many diagnostic angiographies could have been avoided. |
| | |
Authors:
|
Marc-Alexander Ohlow |
Related Documents
:
|
18662507 - The slicc inception cohort for atherosclerosis. 12760587 - Noninvasive assessment of endothelial dysfunction by brachial artery flow-mediated dila... 10978937 - Severe kawasaki disease in infants: two fatal cases. 17913267 - Ffr guided pci in a patient with dextrocardia and multivessel coronary artery disease. 22101307 - Arterial supply to the tibial tuberosity: involvement in patellar ligament transfer in ... 12117047 - Cardiac output increases prior to development of pulmonary edema after re-expansion of ... |
Publication Detail:
|
Type: Comment; Journal Article |
Journal Detail:
|
Title: Future cardiology Volume: 6 ISSN: 1744-8298 ISO Abbreviation: Future Cardiol Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-07-08 Completed Date: 2010-10-21 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101239345 Medline TA: Future Cardiol Country: England |
Other Details:
|
Languages: eng Pagination: 455-7 Citation Subset: - |
Affiliation:
|
Division of Cardiology, Zentralklinik Bad Berka, Robert-Koch-Allee 9, 99437 Bad Berka, Germany. m.ohlow.kar@zentralklinik-bad-berka.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
| Comments/Corrections | |
Comment On:
|
N Engl J Med. 2010 Mar 11;362(10):886-95
[PMID:
20220183
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Elinogrel: pharmacological principles, preclinical and early phase clinical testing.
Next Document: Evaluation of strategies of care in the secondary prevention of heart disease: critical appraisal of...