Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging
Authors: Wade Martin
Journal: Annals of Internal Medicine (2016)

Letters19 January 2016Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion ImagingWade Martin, MDWade Martin, MDFrom Washington University School of Medicine and St. Louis Veterans Administration Medical Center, St. Louis, Missouri.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-0481 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Levsky and colleagues' study (1) on CCTA versus MPI in patients admitted to telemetry with chest pain reported little or no difference in outcomes or other end points between these methods. However, a major limitation of this study is that the most important noninvasive information for evaluation of prognosis and outcome in patients with chest pain was not reported. The authors provided no information on exercise capacity, how heart rate or blood pressure responded to exercise, heart rate recovery, exercise-associated symptoms, ST-segment changes, dysrhythmias, or other electrocardiographic findings. They also did not provide data on how many ...References1. Levsky JM, Spevack DM, Travin MI, Menegus MA, Huang PW, Clark ET, et al. Coronary computed tomography angiography versus radionuclide myocardial perfusion imaging in patients with chest pain admitted to telemetry: a randomized trial. Ann Intern Med. 2015;163:174-83. [PMID: 26052677]. doi:10.7326/M14-2948 LinkGoogle Scholar2. Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE. Exercise capacity and mortality among men referred for exercise testing. N Engl J Med. 2002;346:793-801. [PMID: 11893790] CrossrefMedlineGoogle Scholar3. Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS. Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med. 1999;341:1351-7. [PMID: 10536127] CrossrefMedlineGoogle Scholar4. Mark DB, Shaw L, Harrell FE, Hlatky MA, Lee KL, Bengtson JR, et al. Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease. N Engl J Med. 1991;325:849-53. [PMID: 1875969] CrossrefMedlineGoogle Scholar5. Martin WH, Xian H, Chandiramani P, Bainter E, Klein AJ. Cardiovascular mortality prediction in veterans with arm exercise vs pharmacologic myocardial perfusion imaging. Am Heart J. 2015;170:362-70. [PMID: 26299235] doi:10.1016/j.ahj.2015.05.004 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Washington University School of Medicine and St. Louis Veterans Administration Medical Center, St. Louis, Missouri.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterest Forms.do?msNum=L15-0481. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCoronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging in Patients With Chest Pain Admitted to Telemetry Jeffrey M. Levsky , Daniel M. Spevack , Mark I. Travin , Mark A. Menegus , Paul W. Huang , Elana T. Clark , Choo-won Kim , Esther Hirschhorn , Katherine D. Freeman , Jonathan N. Tobin , and Linda B. Haramati Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging Jeffrey M. Levsky , Mark I. Travin , and Linda B. Haramati Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging Neelesh Gupta Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging Rajeev Gupta and Wael Almahmeed Metrics 19 January 2016Volume 164, Issue 2Page: 132-133KeywordsDrugsElectrocardiographyExerciseHealth careHeart rateIschemiaMortalityMyocardial perfusion imagingQuality of lifeRevascularization ePublished: 19 January 2016 Issue Published: 19 January 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...