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Diagnostic Strategies for the Evaluation of Chest Pain: Clinical Implications From SCOT-HEART and PROMISE.

Publication ,  Journal Article
Fordyce, CB; Newby, DE; Douglas, PS
Published in: J Am Coll Cardiol
February 23, 2016

SCOT-HEART (Scottish COmputed Tomography of the HEART) and PROMISE (PROspective Multicenter Imaging Study for Evaluation of chest pain) represent the 2 largest and most comprehensive cardiovascular imaging outcome trials in patients with stable chest pain and provide significant insights into patient diagnosis, management, and outcomes. These trials are particularly timely, given the well-recognized knowledge gaps and widespread use of noninvasive imaging. The overall goal of this review is to distill the data generated from these 2 pivotal trials to better inform the practicing clinician in the selection of noninvasive testing for stable chest pain. Similarities and differences between SCOT-HEART and PROMISE are highlighted, and clinical and practical implications are discussed. Both trials show that coronary computed tomography angiography should have a greater role in the diagnostic pathway of patients with stable chest pain.

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Published In

J Am Coll Cardiol

DOI

EISSN

1558-3597

Publication Date

February 23, 2016

Volume

67

Issue

7

Start / End Page

843 / 852

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Tomography, Emission-Computed, Single-Photon
  • Practice Guidelines as Topic
  • Humans
  • Exercise Test
  • Electrocardiography
  • Diagnosis, Differential
  • Coronary Artery Disease
  • Coronary Angiography
  • Chest Pain
 

Citation

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Fordyce, C. B., Newby, D. E., & Douglas, P. S. (2016). Diagnostic Strategies for the Evaluation of Chest Pain: Clinical Implications From SCOT-HEART and PROMISE. J Am Coll Cardiol, 67(7), 843–852. https://doi.org/10.1016/j.jacc.2015.11.055
Fordyce, Christopher B., David E. Newby, and Pamela S. Douglas. “Diagnostic Strategies for the Evaluation of Chest Pain: Clinical Implications From SCOT-HEART and PROMISE.J Am Coll Cardiol 67, no. 7 (February 23, 2016): 843–52. https://doi.org/10.1016/j.jacc.2015.11.055.
Fordyce CB, Newby DE, Douglas PS. Diagnostic Strategies for the Evaluation of Chest Pain: Clinical Implications From SCOT-HEART and PROMISE. J Am Coll Cardiol. 2016 Feb 23;67(7):843–52.
Fordyce, Christopher B., et al. “Diagnostic Strategies for the Evaluation of Chest Pain: Clinical Implications From SCOT-HEART and PROMISE.J Am Coll Cardiol, vol. 67, no. 7, Feb. 2016, pp. 843–52. Pubmed, doi:10.1016/j.jacc.2015.11.055.
Fordyce CB, Newby DE, Douglas PS. Diagnostic Strategies for the Evaluation of Chest Pain: Clinical Implications From SCOT-HEART and PROMISE. J Am Coll Cardiol. 2016 Feb 23;67(7):843–852.
Journal cover image

Published In

J Am Coll Cardiol

DOI

EISSN

1558-3597

Publication Date

February 23, 2016

Volume

67

Issue

7

Start / End Page

843 / 852

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Tomography, Emission-Computed, Single-Photon
  • Practice Guidelines as Topic
  • Humans
  • Exercise Test
  • Electrocardiography
  • Diagnosis, Differential
  • Coronary Artery Disease
  • Coronary Angiography
  • Chest Pain