Computed tomography coronary angiography vs. stress ECG in patients with stable angina

Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 yea...
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Autor*in:	Cademartiri, F. [verfasserIn] La Grutta, L. Palumbo, A. Maffei, E. Martini, C. Seitun, S. Coppolino, F. Belgrano, M. Malagò, R. Aldrovandi, A. Mollet, N. Weustink, A. Cova, M. Midiri, M.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Imaging Coronary artery disease Computed tomography Coronary angiography Exercise test

Anmerkung:	© Springer-Verlag Italia 2009

Übergeordnetes Werk:	Enthalten in: La Radiologia medica - Milan : Springer Milan, 2006, 114(2009), 4 vom: 13. Apr., Seite 513-523
Übergeordnetes Werk:	volume:114 ; year:2009 ; number:4 ; day:13 ; month:04 ; pages:513-523

Links:	Volltext

DOI / URN:	10.1007/s11547-009-0388-4

Katalog-ID:	SPR020677944

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100	1		\|a Cademartiri, F. \|e verfasserin \|4 aut
245	1	0	\|a Computed tomography coronary angiography vs. stress ECG in patients with stable angina
264		1	\|c 2009
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520			\|a Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. Conclusions Noninvasive MSCT-CA is a potentially useful tool in the diagnostic workup of patients with stable angina owing to its capability to detect or exclude significant CAD.
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650		4	\|a Coronary angiography \|7 (dpeaa)DE-He213
650		4	\|a Exercise test \|7 (dpeaa)DE-He213
700	1		\|a La Grutta, L. \|4 aut
700	1		\|a Palumbo, A. \|4 aut
700	1		\|a Maffei, E. \|4 aut
700	1		\|a Martini, C. \|4 aut
700	1		\|a Seitun, S. \|4 aut
700	1		\|a Coppolino, F. \|4 aut
700	1		\|a Belgrano, M. \|4 aut
700	1		\|a Malagò, R. \|4 aut
700	1		\|a Aldrovandi, A. \|4 aut
700	1		\|a Mollet, N. \|4 aut
700	1		\|a Weustink, A. \|4 aut
700	1		\|a Cova, M. \|4 aut
700	1		\|a Midiri, M. \|4 aut
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912			\|a GBV_ILN_2068
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matchkey_str	article:18266983:2009----::optdoorpyooaynigahvsrsegnai
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publishDate	2009
allfields	10.1007/s11547-009-0388-4 doi (DE-627)SPR020677944 (SPR)s11547-009-0388-4-e DE-627 ger DE-627 rakwb eng Cademartiri, F. verfasserin aut Computed tomography coronary angiography vs. stress ECG in patients with stable angina 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Italia 2009 Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. Conclusions Noninvasive MSCT-CA is a potentially useful tool in the diagnostic workup of patients with stable angina owing to its capability to detect or exclude significant CAD. Imaging (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Coronary angiography (dpeaa)DE-He213 Exercise test (dpeaa)DE-He213 La Grutta, L. aut Palumbo, A. aut Maffei, E. aut Martini, C. aut Seitun, S. aut Coppolino, F. aut Belgrano, M. aut Malagò, R. aut Aldrovandi, A. aut Mollet, N. aut Weustink, A. aut Cova, M. aut Midiri, M. aut Enthalten in La Radiologia medica Milan : Springer Milan, 2006 114(2009), 4 vom: 13. Apr., Seite 513-523 (DE-627)50900623X (DE-600)2225828-0 1826-6983 nnns volume:114 year:2009 number:4 day:13 month:04 pages:513-523 https://dx.doi.org/10.1007/s11547-009-0388-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 114 2009 4 13 04 513-523
spelling	10.1007/s11547-009-0388-4 doi (DE-627)SPR020677944 (SPR)s11547-009-0388-4-e DE-627 ger DE-627 rakwb eng Cademartiri, F. verfasserin aut Computed tomography coronary angiography vs. stress ECG in patients with stable angina 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Italia 2009 Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. Conclusions Noninvasive MSCT-CA is a potentially useful tool in the diagnostic workup of patients with stable angina owing to its capability to detect or exclude significant CAD. Imaging (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Coronary angiography (dpeaa)DE-He213 Exercise test (dpeaa)DE-He213 La Grutta, L. aut Palumbo, A. aut Maffei, E. aut Martini, C. aut Seitun, S. aut Coppolino, F. aut Belgrano, M. aut Malagò, R. aut Aldrovandi, A. aut Mollet, N. aut Weustink, A. aut Cova, M. aut Midiri, M. aut Enthalten in La Radiologia medica Milan : Springer Milan, 2006 114(2009), 4 vom: 13. Apr., Seite 513-523 (DE-627)50900623X (DE-600)2225828-0 1826-6983 nnns volume:114 year:2009 number:4 day:13 month:04 pages:513-523 https://dx.doi.org/10.1007/s11547-009-0388-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 114 2009 4 13 04 513-523
allfields_unstemmed	10.1007/s11547-009-0388-4 doi (DE-627)SPR020677944 (SPR)s11547-009-0388-4-e DE-627 ger DE-627 rakwb eng Cademartiri, F. verfasserin aut Computed tomography coronary angiography vs. stress ECG in patients with stable angina 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Italia 2009 Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. Conclusions Noninvasive MSCT-CA is a potentially useful tool in the diagnostic workup of patients with stable angina owing to its capability to detect or exclude significant CAD. Imaging (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Coronary angiography (dpeaa)DE-He213 Exercise test (dpeaa)DE-He213 La Grutta, L. aut Palumbo, A. aut Maffei, E. aut Martini, C. aut Seitun, S. aut Coppolino, F. aut Belgrano, M. aut Malagò, R. aut Aldrovandi, A. aut Mollet, N. aut Weustink, A. aut Cova, M. aut Midiri, M. aut Enthalten in La Radiologia medica Milan : Springer Milan, 2006 114(2009), 4 vom: 13. Apr., Seite 513-523 (DE-627)50900623X (DE-600)2225828-0 1826-6983 nnns volume:114 year:2009 number:4 day:13 month:04 pages:513-523 https://dx.doi.org/10.1007/s11547-009-0388-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 114 2009 4 13 04 513-523
allfieldsGer	10.1007/s11547-009-0388-4 doi (DE-627)SPR020677944 (SPR)s11547-009-0388-4-e DE-627 ger DE-627 rakwb eng Cademartiri, F. verfasserin aut Computed tomography coronary angiography vs. stress ECG in patients with stable angina 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Italia 2009 Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. Conclusions Noninvasive MSCT-CA is a potentially useful tool in the diagnostic workup of patients with stable angina owing to its capability to detect or exclude significant CAD. Imaging (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Coronary angiography (dpeaa)DE-He213 Exercise test (dpeaa)DE-He213 La Grutta, L. aut Palumbo, A. aut Maffei, E. aut Martini, C. aut Seitun, S. aut Coppolino, F. aut Belgrano, M. aut Malagò, R. aut Aldrovandi, A. aut Mollet, N. aut Weustink, A. aut Cova, M. aut Midiri, M. aut Enthalten in La Radiologia medica Milan : Springer Milan, 2006 114(2009), 4 vom: 13. Apr., Seite 513-523 (DE-627)50900623X (DE-600)2225828-0 1826-6983 nnns volume:114 year:2009 number:4 day:13 month:04 pages:513-523 https://dx.doi.org/10.1007/s11547-009-0388-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 114 2009 4 13 04 513-523
allfieldsSound	10.1007/s11547-009-0388-4 doi (DE-627)SPR020677944 (SPR)s11547-009-0388-4-e DE-627 ger DE-627 rakwb eng Cademartiri, F. verfasserin aut Computed tomography coronary angiography vs. stress ECG in patients with stable angina 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Italia 2009 Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. Conclusions Noninvasive MSCT-CA is a potentially useful tool in the diagnostic workup of patients with stable angina owing to its capability to detect or exclude significant CAD. Imaging (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Coronary angiography (dpeaa)DE-He213 Exercise test (dpeaa)DE-He213 La Grutta, L. aut Palumbo, A. aut Maffei, E. aut Martini, C. aut Seitun, S. aut Coppolino, F. aut Belgrano, M. aut Malagò, R. aut Aldrovandi, A. aut Mollet, N. aut Weustink, A. aut Cova, M. aut Midiri, M. aut Enthalten in La Radiologia medica Milan : Springer Milan, 2006 114(2009), 4 vom: 13. Apr., Seite 513-523 (DE-627)50900623X (DE-600)2225828-0 1826-6983 nnns volume:114 year:2009 number:4 day:13 month:04 pages:513-523 https://dx.doi.org/10.1007/s11547-009-0388-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 114 2009 4 13 04 513-523
language	English
source	Enthalten in La Radiologia medica 114(2009), 4 vom: 13. Apr., Seite 513-523 volume:114 year:2009 number:4 day:13 month:04 pages:513-523
sourceStr	Enthalten in La Radiologia medica 114(2009), 4 vom: 13. Apr., Seite 513-523 volume:114 year:2009 number:4 day:13 month:04 pages:513-523
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Imaging Coronary artery disease Computed tomography Coronary angiography Exercise test
isfreeaccess_bool	false
container_title	La Radiologia medica
authorswithroles_txt_mv	Cademartiri, F. @@aut@@ La Grutta, L. @@aut@@ Palumbo, A. @@aut@@ Maffei, E. @@aut@@ Martini, C. @@aut@@ Seitun, S. @@aut@@ Coppolino, F. @@aut@@ Belgrano, M. @@aut@@ Malagò, R. @@aut@@ Aldrovandi, A. @@aut@@ Mollet, N. @@aut@@ Weustink, A. @@aut@@ Cova, M. @@aut@@ Midiri, M. @@aut@@
publishDateDaySort_date	2009-04-13T00:00:00Z
hierarchy_top_id	50900623X
id	SPR020677944
language_de	englisch
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Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. 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author	Cademartiri, F.
spellingShingle	Cademartiri, F. misc Imaging misc Coronary artery disease misc Computed tomography misc Coronary angiography misc Exercise test Computed tomography coronary angiography vs. stress ECG in patients with stable angina
authorStr	Cademartiri, F.
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topic_title	Computed tomography coronary angiography vs. stress ECG in patients with stable angina Imaging (dpeaa)DE-He213 Coronary artery disease (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Coronary angiography (dpeaa)DE-He213 Exercise test (dpeaa)DE-He213
topic	misc Imaging misc Coronary artery disease misc Computed tomography misc Coronary angiography misc Exercise test
topic_unstemmed	misc Imaging misc Coronary artery disease misc Computed tomography misc Coronary angiography misc Exercise test
topic_browse	misc Imaging misc Coronary artery disease misc Computed tomography misc Coronary angiography misc Exercise test
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title	Computed tomography coronary angiography vs. stress ECG in patients with stable angina
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title_full	Computed tomography coronary angiography vs. stress ECG in patients with stable angina
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author_browse	Cademartiri, F. La Grutta, L. Palumbo, A. Maffei, E. Martini, C. Seitun, S. Coppolino, F. Belgrano, M. Malagò, R. Aldrovandi, A. Mollet, N. Weustink, A. Cova, M. Midiri, M.
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doi_str_mv	10.1007/s11547-009-0388-4
title_sort	computed tomography coronary angiography vs. stress ecg in patients with stable angina
title_auth	Computed tomography coronary angiography vs. stress ECG in patients with stable angina
abstract	Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. Conclusions Noninvasive MSCT-CA is a potentially useful tool in the diagnostic workup of patients with stable angina owing to its capability to detect or exclude significant CAD. © Springer-Verlag Italia 2009
abstractGer	Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. Conclusions Noninvasive MSCT-CA is a potentially useful tool in the diagnostic workup of patients with stable angina owing to its capability to detect or exclude significant CAD. © Springer-Verlag Italia 2009
abstract_unstemmed	Purpose This study compared the role of multislice computed tomography coronary angiography (MSCT-CA) and stress electrocardiography (ECG) in the diagnostic workup of patients with chronic chest pain. Materials and methods MSCT-CA was performed in 43 patients (31 men, 12 women, mean age 58.8±7.7 years) with stable angina after a routine diagnostic workup involving stress ECG and conventional CA. The following inclusion criteria were adopted: sinus rhythm and ability to hold breath for 12 s. Beta-blockers were administered in patients with heart rate ≥70 beats/minute. In order to identify or exclude patients with significant stenoses (≥50% lumen), we determined posttest likelihood ratios of stress test and MSCT-CA separately and of MSCT-CA performed after the stress test. Results The pretest probability of significant coronary artery disease (CAD) was 74%. Positive and negative likelihood ratios were 2.3 [95% confidence interval (CI) 1.0–5.3] and 0.3 (95% CI: 0.2–0.7) for the stress test and 10.0 (95% CI: 1.8–78.4) and 0.0 (95% CI: 0.0-∞) for MSCT-CA, respectively. MSCT-CA increased the posttest probability of significant CAD after a negative stress test from 50% to 86% and after a positive stress test from 88% to 100%. MSCT-CA correctly detected all patients without CAD. Conclusions Noninvasive MSCT-CA is a potentially useful tool in the diagnostic workup of patients with stable angina owing to its capability to detect or exclude significant CAD. © Springer-Verlag Italia 2009
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title_short	Computed tomography coronary angiography vs. stress ECG in patients with stable angina
url	https://dx.doi.org/10.1007/s11547-009-0388-4
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author2	La Grutta, L. Palumbo, A. Maffei, E. Martini, C. Seitun, S. Coppolino, F. Belgrano, M. Malagò, R. Aldrovandi, A. Mollet, N. Weustink, A. Cova, M. Midiri, M.
author2Str	La Grutta, L. Palumbo, A. Maffei, E. Martini, C. Seitun, S. Coppolino, F. Belgrano, M. Malagò, R. Aldrovandi, A. Mollet, N. Weustink, A. Cova, M. Midiri, M.
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doi_str	10.1007/s11547-009-0388-4
up_date	2024-07-03T17:31:54.165Z
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Computed tomography coronary angiography vs. stress ECG in patients with stable angina

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