Coronary artery disease
Conditions
Interventions
Diagnostic intervention with replacement of the stress test by a cardiac CT
scan (in the absence of contra-indications)
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Stable symptoms of hest pain/dyscomfort or dyspnea that is possibly the result of coronary artery disease. Age >18 yrs, ability and willingness to provide infromed consent
Exclusion criteria
Exclusion criteria: A history of surgical or percutaneous coronary revascularization, or non-revascularized angiographic obstructive coronary artery disease (>50% diameter reduction). Normal invasive coronary angiography or stress imaging less than 1 years ago.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| a) Absence of chest pain at 1 year b) Diagnostic yield of high-risk coronary artery disease | — |
Secondary
| Measure | Time frame |
|---|---|
| Absence of chest pain at 3 and 5 years Quality of life at 1, 3, 5 years Time and cost until diagnosis Proportion of invasive catheterizations followed by a revascularization procedure Overall costs: diagnostics, therapy at 1, 3, 5 years. Cost-effectiveness (including non-medical costs, including those related to lost productivity) Event-free survival, composite endpoint: death, myocardial infarction, CVA, UAP, ED visits, late revascularizations. Radiation exposure | — |
Countries
Netherlands
Outcome results
None listed