Use of Coronary Computed Tomographic Angiography to Guide Management of Patients With Coronary Disease.

ABSTRACT:

Background

In a prospective, multicenter, randomized controlled trial, 4,146 patients were randomized to receive standard care or standard care plus coronary computed tomography angiography (CCTA).

Objectives

The purpose of this study was to explore the consequences of CCTA-assisted diagnosis on invasive coronary angiography, preventive treatments, and clinical outcomes.

Methods

In post hoc analyses, we assessed changes in invasive coronary angiography, preventive treatments, and clinical outcomes using national electronic health records.

Results

Despite similar overall rates (409 vs. 401; p = 0.451), invasive angiography was less likely to demonstrate normal coronary arteries (20 vs. 56; hazard ratios [HRs]: 0.39 [95% confidence interval (CI): 0.23 to 0.68]; p

SUBMITTER: Williams MC 

PROVIDER: S-EPMC4829708 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature