Diagnostic performance and cost of CT angiography versus stress ECG - A randomized prospective study of suspected acute coronary syndrome chest pain in the emergency department (CT-COMPARE)

International Journal of Cardiology

Volumn 177, Issue 3, 2014, Pages 867-873

  Hamilton Craig, Christian ^a,b,d   Fifoot, Allison ^a   Hansen, Mark ^a   Pincus, Matthew ^a   Chan, Jonathan ^a,c   Walters, Darren L ^a,b   Branch, Kelley R ^d  

^a THE PRINCE CHARLES HOSPITAL   (Australia)

^b UNIVERSITY OF QUEENSLAND   (Australia)

^c GRIFFITH UNIVERSITY   (Australia)

^d UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Acute coronary syndrome; Coronary CT; Diagnostic performance; Exercise ECG

Indexed keywords

ACUTE CORONARY SYNDROME; ADULT; ANGIOCARDIOGRAPHY; ANGIOGRAPHY DEVICE; ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTED TOMOGRAPHY SCANNER; CORONARY ARTERY OBSTRUCTION; CORONARY COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COST CONTROL; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; ELECTROCARDIOGRAPH; EMERGENCY WARD; EXERCISE ELECTROCARDIOGRAPHY; FEMALE; FOLLOW UP; HEALTH CARE UTILIZATION; HOSPITAL ADMISSION; HOSPITAL COST; HOSPITAL DISCHARGE; HUMAN; INTERMETHOD COMPARISON; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; PREDICTIVE VALUE; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY AND SPECIFICITY; THORAX PAIN; TREADMILL EXERCISE; COMPARATIVE STUDY; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; ECONOMICS; EMERGENCY HEALTH SERVICE; RADIOGRAPHY; STANDARDS;

ACUTE CORONARY SYNDROME; ADULT; CHEST PAIN; CORONARY ANGIOGRAPHY; EMERGENCY SERVICE, HOSPITAL; FEMALE; FOLLOW-UP STUDIES; HOSPITAL COSTS; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84919953815     PISSN: 01675273     EISSN: 18741754     Source Type: Journal    
DOI: 10.1016/j.ijcard.2014.10.090     Document Type: Article

References (26)

1. C.N. Aroney, H.L. Dunlevie, and J.H. Bett Use of an accelerated chest pain assessment protocol in patients at intermediate risk of adverse cardiac events Med. J. Aust. 178 2003 370 374
2. W.A. Parsonage, L. Cullen, and J.F. Younger The approach to patients with possible cardiac chest pain Med. J. Aust. 199 2013 30 34
3. R.J. Gibbons, G.J. Balady, and J.T. Bricker ACC/AHA 2002 guideline update for exercise testing: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (committee to update the 1997 exercise testing guidelines) J. Am. Coll. Cardiol. 40 2002 1531 1540
4. R. Gianrossi, R. Detrano, and D. Mulvihill Exercise-induced ST depression in the diagnosis of coronary artery disease. A meta-analysis Circulation 80 1989 87 98
5. J.A. Goldstein, K.M. Chinnaiyan, and A. Abidov The CT-STAT (Coronary Computed Tomographic Angiography for Systematic Triage of Acute Chest Pain Patients to Treatment) trial J. Am. Coll. Cardiol. 58 2011 1414 1422
6. U. Hoffmann, Q.A. Truong, and D.A. Schoenfeld Coronary CT angiography versus standard evaluation in acute chest pain (ROMICAT-II) N. Engl. J. Med. 367 2012 299 308
7. H.I. Litt, C. Gatsonis, and B. Snyder CT angiography for safe discharge of patients with possible acute coronary syndromes (ACRIN-PA) N. Engl. J. Med. 366 2012 1393 1403
8. K.R. Branch, B.W. Bresnahan, and D.L. Veenstra Economic outcome of cardiac CT-based evaluation and standard of care for suspected acute coronary syndrome in the emergency department: a decision analytic model Acad. Radiol. 19 2012 265 273
9. M. Hansen, J. Ginns, and S. Seneviratne The value of dual-source 64-slice CT coronary angiography in the assessment of patients presenting to an acute chest pain service Heart Lung Circ. 19 2010 213 218
10. Cardiac Society of Australia and NZ - guidelines for the management of acute coronary syndromes 2006 Med. J. Aust. 184 2006 S9 S29
11. A.W. van't Hof, A. Liem, M.J. De Boer, and F. Zijlstra Clinical value of 12-lead electrocardiogram after successful reperfusion therapy for acute myocardial infarction. Zwolle Myocardial infarction Study Group Lancet 350 1997 615 619
12. G.Y. Liew, M. Feneley, and S.G. Worthley Noninvasive coronary artery imaging: current clinical applications: Cardiac Society of Australia and New Zealand guidelines Heart Lung Circ. 20 2011 425 437
13. D.P. Chew, C.N. Aroney, and P.E. Aylward Addendum to the National Heart Foundation of Australia/Cardiac Society of Australia and New Zealand Guidelines for the management of acute coronary syndromes (ACS) 2006 Heart Lung Circ. 20 2011 487 502
14. S. Goodacre, J. Nicholl, and S. Dixon Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care BMJ 328 2004 254
15. A. Arbab-Zadeh, J.M. Miller, and C.E. Rochitte Diagnostic accuracy of computed tomography coronary angiography according to pre-test probability of coronary artery disease and severity of coronary arterial calcification. The CORE-64 (Coronary Artery Evaluation Using 64-Row Multidetector Computed Tomography Angiography) international multicenter study J. Am. Coll. Cardiol. 59 2012 379 387
16. S. Leschka, P. Stolzmann, and L. Desbiolles Diagnostic accuracy of high-pitch dual-source CT for the assessment of coronary stenoses: first experience Eur. Radiol. 19 2009 2896 2903
17. A.L. Vavere, A. Arbab-Zadeh, and C.E. Rochitte Coronary artery stenoses: accuracy of 64-detector row CT angiography in segments with mild, moderate, or severe calcification - a subanalysis of the CORE-64 trial Radiology 261 2011 100 108
18. M.J. Budoff, D. Dowe, and J.G. Jollis Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial J. Am. Coll. Cardiol. 52 2008 1724 1732
19. W.B. Meijboom, A.C. Weustink, and F. Pugliese Comparison of diagnostic accuracy of 64-slice computed tomography coronary angiography in women versus men with angina pectoris Am. J. Cardiol. 100 2007 1532 1537
20. M. Salerno, J.M. Bourque, and G.A. Beller Coronary angiographic evaluation of low-risk chest pain in the emergency department CT-STAT, or maybe not quite that fast? J. Am. Coll. Cardiol. 58 2011 1423 1425
21. E. Hulten, C. Pickett, and M.S. Bittencourt Outcomes after coronary computed tomography angiography in the emergency department: a systematic review and meta-analysis of randomized, controlled trials J. Am. Coll. Cardiol. 61 2013 880 892
22. L.T. Burgers, S.T. Nauta, J.W. Deckers, J.L. Severens, and W.K. Redekop Is it cost-effective to use a test to decide which individuals with an intermediate cardiovascular disease risk would benefit from statin treatment? Int. J. Cardiol. 176 3 Oct 20 2014 980 987
23. M. Than, L. Cullen, and S. Aldous 2-Hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: the ADAPT trial J. Am. Coll. Cardiol. 59 2012 2091 2098
24. J.M. May, W.P. Shuman, and J.N. Strote Low-risk patients with chest pain in the emergency department: negative 64-MDCT coronary angiography may reduce length of stay and hospital charges AJR Am. J. Roentgenol. 193 2009 150 154
25. V.L. Priest, P.A. Scuffham, R. Hachamovitch, and T.H. Marwick Cost-effectiveness of coronary computed tomography and cardiac stress imaging in the emergency department: a decision analytic model comparing diagnostic strategies for chest pain in patients at low risk of acute coronary syndromes JACC Cardiovasc. Imaging 4 2011 549 556
26. C. Hamilton-Craig, R. O'Rourke, A.J. Wesley, J. Ayres, and M. Molan Temporal Trends in Cardiac CT Radiation Exposure and the Impact of the PROTECTION trials in an Australian Academic Center J. Cardiovasc. Comput. Tomogr. 6 July/August 2012 4S