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DT kranskärl bör användas oftare vid misstänkt kranskärlssjukdom

Löfmark, Henrik ; Brandberg, Helge ; Ostenfeld, Ellen LU orcid ; Sarno, Giovanna and Linder, Rickard (2023) In Lakartidningen 120.
Abstract

Chronic coronary syndrome is a clinical diagnosis based on medical history and risk factors. To confirm diagnosis, an anatomical or functional assessment is recommended. Selection of diagnostic test is guided by clinical likelihood, patient characteristics, local expertise and availability. If the likelihood is low to intermediate, coronary computed tomography angiography (CCTA) is recommended; if intermediate to high, a functional non-invasive test, such as stress echocardiography, is recommended. As compared with other non-invasive diagnostic tests, exercise electrocardiogram has the lowest sensitivity and is only recommended when other imaging diagnostic tests are unavailable. The availability of CCTA is unequal and inadequate in... (More)

Chronic coronary syndrome is a clinical diagnosis based on medical history and risk factors. To confirm diagnosis, an anatomical or functional assessment is recommended. Selection of diagnostic test is guided by clinical likelihood, patient characteristics, local expertise and availability. If the likelihood is low to intermediate, coronary computed tomography angiography (CCTA) is recommended; if intermediate to high, a functional non-invasive test, such as stress echocardiography, is recommended. As compared with other non-invasive diagnostic tests, exercise electrocardiogram has the lowest sensitivity and is only recommended when other imaging diagnostic tests are unavailable. The availability of CCTA is unequal and inadequate in most parts of Sweden. Efforts to increase the availability are called for.

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Please use this url to cite or link to this publication:
author
; ; ; and
organization
alternative title
More coronary computed tomography angiographies and less exercise electrocardiograms in patients under investigation for coronary artery disease?
publishing date
type
Contribution to journal
publication status
published
subject
in
Lakartidningen
volume
120
publisher
Swedish Medical Association
external identifiers
  • pmid:36757305
  • scopus:85147834392
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
188fa0cb-1928-4172-b3bb-3d87d502b165
date added to LUP
2023-02-20 15:40:51
date last changed
2025-05-16 23:42:18
@article{188fa0cb-1928-4172-b3bb-3d87d502b165,
  abstract     = {{<p>Chronic coronary syndrome is a clinical diagnosis based on medical history and risk factors. To confirm diagnosis, an anatomical or functional assessment is recommended. Selection of diagnostic test is guided by clinical likelihood, patient characteristics, local expertise and availability. If the likelihood is low to intermediate, coronary computed tomography angiography (CCTA) is recommended; if intermediate to high, a functional non-invasive test, such as stress echocardiography, is recommended. As compared with other non-invasive diagnostic tests, exercise electrocardiogram has the lowest sensitivity and is only recommended when other imaging diagnostic tests are unavailable. The availability of CCTA is unequal and inadequate in most parts of Sweden. Efforts to increase the availability are called for.</p>}},
  author       = {{Löfmark, Henrik and Brandberg, Helge and Ostenfeld, Ellen and Sarno, Giovanna and Linder, Rickard}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  month        = {{02}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Lakartidningen}},
  title        = {{DT kranskärl bör användas oftare vid misstänkt kranskärlssjukdom}},
  volume       = {{120}},
  year         = {{2023}},
}