Cardiac Computed Tomography Is Cost-Effective Compared With Exercise Stress Testing in Investigating Patients With Stable Chest Pain

Khattak, Mohammad Fawad

doi:10.2139/ssrn.3568982

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Cardiac Computed Tomography Is Cost-Effective Compared With Exercise Stress Testing in Investigating Patients With Stable Chest Pain

3 Pages Posted: 28 May 2020

See all articles by Mohammad Fawad Khattak

Mohammad Fawad Khattak

Russells Hall Hospital

Date Written: April 5, 2016

Abstract

Computed Tomography coronary angiography (CTCA) is a non-invasive imaging technique used to detect coronary heart disease(CHD) in patients with stable chest pain of suspected cardiac origin. Exercise electrocardiography stress test (EST) use has previously been the choice of investigation of stable chest pain in Rapid Access Chest Pain Clinics (RACPC). However studies have shown that 30% of people attending RACPC are either unsuitable for EST or achieve non-diagnostic results.1 Randomised control trials have shown cardiac CT of showing more significant disease identification and less inconclusive results when compared to EST.2 This has lead to NICE including cardiac CT in the diagnostic pathway for stable chest pain, and they have called for research on the cost-effectiveness of cardiac CT testing in the diagnosis of angina.

Keywords: Cardiology, CTCA, Angina, Ischaemic Heart Disease

Suggested Citation: Suggested Citation

Khattak, Mohammad Fawad, Cardiac Computed Tomography Is Cost-Effective Compared With Exercise Stress Testing in Investigating Patients With Stable Chest Pain (April 5, 2016). Available at SSRN: https://ssrn.com/abstract=3568982 or http://dx.doi.org/10.2139/ssrn.3568982