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European Heart Journal Advance Access originally published online on August 17, 2005
European Heart Journal 2005 26(19):1942-1944; doi:10.1093/eurheartj/ehi463
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

The clinical role of ‘non-invasive’ coronary angiography by multidetector spiral computed tomography: yet to be defined

Udo Sechtem1,* and Matthias Vöhringer1

Division of Cardiology and Pulmonology, Robert-Bosch-Krankenhaus, Auerbachstrasse 110, D-70376 Stuttgart, Germany

* Corresponding author. Tel: +49 711 8101 3456; fax: +49 711 8101 3795. E-mail address: udo.sechtem@rbk.de

This editorial refers to ‘Detection of coronary artery stenoses using multidetector CT with 16x0.75 collimation and 370 ms rotation’{dagger} by S. Achenbach et al., on page 1978 and ‘Limited diagnostic yield of non-invasive coronary angiography by 16-slice multidetector spiral computed tomography in routine patients referred for evaluation of coronary artery disease’{ddagger} by C. Kaiser et al., on page 1987

The first 150 words of the full text of this article appear below.

‘Medicine is a science of uncertainty and an art of probability’Sir William Osler (1849–1919)

Seeing is believing. The great attraction of coronary angiography for both patient and doctor is the direct view of those small structures whose integrity may dictate life or death. In patients with suspected coronary artery disease (CAD), myocardial perfusion imaging or stress echocardiography may provide good and clinically meaningful distinction between those who are at risk and those who are not, but a shade of doubt remains. For those who find such doubts unacceptable, yet fear the small but definite risks of invasive coronary angiography, multislice spiral computed tomography coronary angiography (CTCA) comes as a deus ex machina—ready to solve all problems. The promise of cardiac CT is no less than the best of all worlds: high-resolution coronary images are able to give a definite answer beyond all doubts, yet avoiding unpleasant groin haematomas . . . [Full Text of this Article]


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Related articles in EHJ:

Detection of coronary artery stenoses using multi-detector CT with 16x0.75 collimation and 375 ms rotation
Stephan Achenbach, Dieter Ropers, Falk-Karsten Pohle, Dorette Raaz, Johannes von Erffa, Attila Yilmaz, Gerd Muschiol, and Werner G. Daniel
EHJ 2005 26: 1978-1986. [Abstract] [Full Text]  

Limited diagnostic yield of non-invasive coronary angiography by 16-slice multi-detector spiral computed tomography in routine patients referred for evaluation of coronary artery disease
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