Challenges in delivering computed tomography coronary angiography as the first-line test for stable chest pain.

ABSTRACT:

Objective

The National Institute for Health and Care Excellence (NICE) clinical guidelines 'chest pain of recent onset: assessment and diagnosis' (update 2016) state CT coronary angiography (CTCA) should be offered as the first-line investigation for patients with stable chest pain. However, the current provision in the UK is unknown. We aimed to evaluate this and estimate the requirements for full implementation of the guidelines including geographical variation. Ancillary aims included surveying the number of CTCA-capable scanners and accredited practitioners in the UK.

Methods

The number of CTCA scans performed annually was surveyed across the National Health Service (NHS). The number of percutaneous coronary interventions performed for stable angina in the NHS in 2015 wa

SUBMITTER: Dreisbach JG 

PROVIDER: S-EPMC5969350 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature