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European Heart Journal Advance Access originally published online on June 29, 2007
European Heart Journal 2007 28(15):1787-1789; doi:10.1093/eurheartj/ehm253
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Coronary computed tomographic angiography and exercise electrocardiography: a great match or unequal partners?

Thomas C. Gerber1,*, Birgit Kantor2 and Panithaya Chareonthaitawee2

1 Division of Cardiovascular Diseases and Department of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA
2 Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA

* Corresponding author. E-mail address: gerber.thomas@mayo.edu

This editorial refers to ‘Adjunctive value of CT coronary angiography in the diagnostic work-up of patients with typical angina pectoris’ by N.R. Mollet et al., on page 1872

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

Coronary computed tomographic angiography (CCTA) is emerging as a powerful non-invasive tool in the diagnosis of coronary artery disease (CAD). However, there is concern that CCTA is being used indiscriminately without sufficient examination of its added value vis-à-vis more established forms of non-invasive testing.1 With an ever-growing armament of non-invasive tests for the diagnosis and evaluation of CAD, cardiologists must consider the following questions in weighing up the implementation of a new diagnostic modality in the routine clinical setting. Is testing necessary for the diagnosis of CAD in a particular patient group? Will testing guide management decisions and identify patients who may benefit from coronary revascularization? Will the benefits of testing outweigh its potential risks?

The study by Mollet et al.2 provides important insights into the relationship between the findings of CCTA and conventional treadmill exercise electrocardiography (ECG), but also raises important issues regarding the role of both tests in . . . [Full Text of this Article]

Appropriate use and predictive value of non-invasive testing

Anatomy vs. function: competing or complementary?


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Related articles in EHJ:

Adjunctive value of CT coronary angiography in the diagnostic work-up of patients with typical angina pectoris
Nico R. Mollet, Filippo Cademartiri, Carlos Van Mieghem, Bob Meijboom, Francesca Pugliese, Giuseppe Runza, Timo Baks, Jolmer Dikkeboer, Eugene P. McFadden, Michel P. Freericks, Jacques P. Kerker, Stieneke K. Zoet, Eric Boersma, Gabriel P. Krestin, and Pim J. de Feyter
EHJ 2007 28: 1872-1878. [Abstract] [Full Text]