Imaging Strategies Reduce Unnecessary Angiography

This article originally appeared here.
Share this content:
Imaging Strategies Reduce Unnecessary Angiography
Imaging Strategies Reduce Unnecessary Angiography

WEDNESDAY, Aug. 31, 2016 (HealthDay News) -- Investigation of suspected coronary heart disease (CHD) with cardiovascular magnetic resonance (CMR)-guided care is superior to National Institute for Health and Care Excellence (NICE) guidelines-directed care and does not differ significantly from myocardial perfusion scintigraphy (MPS)-guided care, according to a study published online Aug. 29 in the Journal of the American Medical Association. The research was published to coincide with the annual European Society of Cardiology Congress, held from Aug. 27 to 31 in Rome.

John P. Greenwood, Ph.D., from the University of Leeds in the United Kingdom, and colleagues randomized 1,202 symptomatic patients with suspected CHD to management according to UK NICE guidelines or to guided care based on the results of CMR or MPS testing (240:481:481).

The researchers found that after 12 months, 42.5, 17.7, and 16.2 percent of patients in the NICE guidelines group, MPS group, and CMR group, respectively, had invasive coronary angiography. Study-defined unnecessary angiography occurred in 28.8, 7.5, and 7.1, percent of the NICE guidelines, CMR, and MPS groups, respectively; the adjusted odds ratio for unnecessary angiography was 0.21 (95 percent confidence interval, 0.12 to 0.34) for CMR versus NICE guidelines and 1.27 (95 percent confidence interval, 0.79 to 2.03) for CMR versus MPS.

"Noninvasive functional imaging strategies reduced unnecessary angiography compared with guidelines-directed care," the authors write

One author disclosed financial ties to the health care and medical device industries.

Abstract
Full Text
More Information

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions



Sign up for myCME e-newsletters


More in Home

Low-Dose Hyaluronidase Can Remove Hyaluronic Acid Fillers

Low-Dose Hyaluronidase Can Remove Hyaluronic Acid Fillers

Greater resolution of nodules with hyaluronidase versus saline; more rapid resolution with higher doses

Improvement in Race-Based Disparities in Years of Life Lost

Improvement in Race-Based Disparities in Years of Life ...

Decline in race-based disparities in years of life lost seen in the United States from 1990 to 2014

Drug-Related Endocarditis Cases Up From 2007 to 2015

Drug-Related Endocarditis Cases Up From 2007 to 2015

Increase in endocarditis over nine-year study period mirrored increase in concomitant mixed drug use

is free, fast, and customized just for you!

Already a member?

Sign In Now »