Anatomic testing in the assessment of coronary artery disease

Until recently there has been a lack of randomized clinical trials (RCTs) directly comparing functional testing (e.g. exercise ECG, stress echocardiography)

versus anatomical testing (by cardiac computed tomography angiography, CCTA) in the detection of CAD in stable chest pain patients. Now

the results of a major RCT to evaluate functional vs anatomical testing have been published. Simultaneously, the results of another trial evaluating the

role of CT coronary angiography in the assessment of patients with suspected coronary artery disease were published.

By Dr I Zeb, Dr MJ Budoff

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