Comparative Effectiveness Trials of Imaging-Guided Strategies in Stable Ischemic Heart Disease

JACC-CARDIOVASCULAR IMAGING

卷:10

Article

Shaw, Leslee J.¹  Phillips, Lawrence M.²  Nagel, Eike³  Newby, David E.⁴  Narula, Jagat⁵  Douglas, Pamela S.⁶ 

[1] Emory Univ Sch Med, 1462 Clifton Rd NE,Room 529, Atlanta, GA USA

[2] New York Univ Langone Med Ctr, New York, NY USA

[3] Univ Hosp Frankfurt, DZHK Ctr Cardiovasc Imaging, Inst Expt & Translat Cardiovasc Imaging, Frankfurt, Germany

[4] Univ Edinburgh, Edinburgh EH8 9YL, Midlothian, Scotland

[5] Mt Sinai Sch Med, New York, NY USA

[6] Duke Clin Res Inst, Durham, NC USA

关键词: cardiac imaging;    diagnostic testing;    randomized trials;    stable ischemic heart disease;   

DOI  :  10.1016/j.jcmg.2016.10.016

来源: Elsevier

【 摘 要 】

The evaluation of patients with suspected stable ischemic heart disease is among the most common diagnostic evaluations with nearly 20 million imaging and exercise stress tests performed annually in the United States. Over the past decade, there has been an evolution in imaging research with an ever-increasing focus on larger registries and randomized trials comparing the effectiveness of varying diagnostic algorithms. The current review highlights recent randomized trial evidence with a particular focus comparing the effectiveness of cardiac imaging procedures within the stable ischemic heart disease evaluation for coronary artery disease detection, angina, and other quality of life measures, and major clinical outcomes. Also highlighted are secondary analyses from these trials on the economic findings related to comparative cost differences across diagnostic testing strategies. (C) 2017 by the American College of Cardiology Foundation.

【 授权许可】

Free