Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging
Authors: Rajeev Gupta, Wael Almahmeed
Journal: Annals of Internal Medicine (2016)

Letters19 January 2016Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion ImagingRajeev Gupta, MD and Wael Almahmeed, MDRajeev Gupta, MDFrom Kalba Hospital, Sharjah, United Arab Emirates, and Cleveland Clinic, Abu Dhabi, United Arab Emirates.Search for more papers by this author and Wael Almahmeed, MDFrom Kalba Hospital, Sharjah, United Arab Emirates, and Cleveland Clinic, Abu Dhabi, United Arab Emirates.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-0479 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Levsky and colleagues' study (1) is important because it has a mean follow-up of 40.4 months. Although short- and intermediate-term outcome studies have shown similar outcomes with 2 diagnostic methods (CCTA and physiologic testing) (2), there is an impending need for randomized trials driven by long-term outcomes before a definite claim or conclusion about the superiority of one diagnostic technique can be confirmed. However, like previous studies (3), Levsky and colleagues' trial did not include patients treated with medical therapy only without undergoing testing. Data from these patients would be useful because we still do not know ...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. Douglas PS, Hoffmann U, Patel MR, Mark DB, Al-Khalidi HR, Cavanaugh B, et al; PROMISE Investigators. Outcomes of anatomical versus functional testing for coronary artery disease. N Engl J Med. 2015;372:1291-300. [PMID: 25773919] doi:10.1056/NEJMoa1415516 CrossrefMedlineGoogle Scholar3. Min JK, Dunning A, Lin FY, Achenbach S, Al-Mallah M, Budoff MJ, et al; CONFIRM Investigators. Age- and sex-related differences in all-cause mortality risk based on coronary computed tomography angiography findings results from the International Multicenter CONFIRM (Coronary CT Angiography Evaluation for Clinical Outcomes: An International Multicenter Registry) of 23,854 patients without known coronary artery disease. J Am Coll Cardiol. 2011;58:849-60. [PMID: 21835321] doi:10.1016/j.jacc.2011.02.074 CrossrefMedlineGoogle Scholar4. Kramer CM. Cardiovascular imaging and outcomes—PROMISEs to keep [Editorial]. N Engl J Med. 2015;372:1366-7. [PMID: 25773508] doi:10.1056/NEJMe1501924 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Rajeev Gupta, MD; Wael Almahmeed, MDAffiliations: From Kalba Hospital, Sharjah, United Arab Emirates, and Cleveland Clinic, Abu Dhabi, United Arab Emirates.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterest Forms.do?msNum=L15-0479. 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 Neelesh Gupta Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging Wade Martin Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging Jeffrey M. Levsky , Mark I. Travin , and Linda B. Haramati Metrics 19 January 2016Volume 164, Issue 2Page: 133KeywordsAngiographyComputed axial tomographyConflicts of interestCoronary computed tomographic angiographyDiagnostic techniquesDisclosureIschemiaMyocardial perfusion imagingRandomized trials ePublished: 19 January 2016 Issue Published: 19 January 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...