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dc.contributor.authorBularga, Anda
dc.contributor.authorSaraste, Antti
dc.contributor.authorFontes-Carvalho, Ricardo
dc.contributor.authorHolte, Espen
dc.contributor.authorCameli, Matteo
dc.contributor.authorMichalski, Blazej
dc.contributor.authorWilliams, Michelle C.
dc.contributor.authorPodlesnikar, Tomaz
dc.contributor.authorD'Andrea, Antonello
dc.contributor.authorStankovic, Ivan
dc.contributor.authorMills, Nicholas L.
dc.contributor.authorManka, Robert
dc.contributor.authorNewby, David E.
dc.contributor.authorSchultz-Menger, Jeanette
dc.contributor.authorHaugaa, Kristina
dc.contributor.authorDweck, Mark R.
dc.identifier.citationEuropean Heart Journal-Cardiovascular Imaging. 2021, 22 (1), 1-7.en_US
dc.description.abstractAims The European Association of Cardiovascular Imaging (EACVI) Scientific Initiatives Committee performed a global survey to evaluate current practice for the assessment and management of patients with suspected and confirmed chronic coronary syndromes. Methods and results One-hundred and ten imaging centres from 37 countries across the world responded to the survey. Most non-invasive investigations for coronary artery disease were widely available, except cardiovascular magnetic resonance (available 40% centres). Coronary computed tomography angiography (CCTA) and nuclear scans were reported by a multi-disciplinary team in only a quarter of centres. In the initial assessment of patients presenting with chest pain, only 32% of respondents indicated that they rely on pre-test probability for selecting the optimal imaging test while 31% proceed directly to CCTA. In patients with established coronary artery disease and recurrent chest pain, respondents opted for stress echocardiography (27%) and nuclear stress perfusion scans (26%). In asymptomatic patients with coronary artery disease and an obstructive (>70%) right coronary artery stenosis, 58% of respondents were happy to pursue medical therapy without further testing or intervention. This proportion fell to 29% with left anterior descending artery stenosis and 1% with left main stem obstruction. In asymptomatic patients with evidence of moderate-to-severe myocardial ischaemia (15%), only 18% of respondents would continue medical therapy without further investigation. Conclusion Despite guidelines recommendations pre-test probability is used to assess patients with suspected coronary artery in a minority of centres, one-third of centres moving directly to CCTA. Clinicians remain reticent to pursue a strategy of optimal medical therapy without further investigation or intervention in patients with controlled symptoms but obstructive coronary artery stenoses or myocardial ischaemia.en_US
dc.publisherOxford University Pressen_US
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.titleEACVI survey on investigations and imaging modalities in chronic coronary syndromesen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.source.journalEuropean Heart Journal-Cardiovascular Imagingen_US

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Navngivelse-Ikkekommersiell 4.0 Internasjonal
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