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

Letters19 January 2016Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion ImagingNeelesh Gupta, MBBSNeelesh Gupta, MBBSFrom University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, New Delhi, India.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-0480 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Levsky and colleagues' randomized trial (1) showed no difference in outcomes over 40.4 months among patients with chest pain admitted to telemetry who had either coronary computed tomography angiography (CCTA) or myocardial perfusion imaging (MPI). They do not mention what percentage of patients met appropriate use criteria for cardiac imaging with either of these studies. Moreover, details about the exercise parameters during MPI (although highly relevant to indicate prognosis) are conspicuously absent. In addition, both methods are used in developed countries but are hardly done in countries with low-income economies.Conventional treadmill exercise testing with 12-lead electrocardiography ...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. 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 Scholar4. 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 Scholar5. Lauer MS, Francis GS, Okin PM, Pashkow FJ, Snader CE, Marwick TH. Impaired chronotropic response to exercise stress testing as a predictor of mortality. JAMA. 1999;281:524-9. [PMID: 10022108] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, New Delhi, India.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterest Forms.do?msNum=L15-0480. 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 Wade Martin 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 Rajeev Gupta and Wael Almahmeed Metrics 19 January 2016Volume 164, Issue 2Page: 132KeywordsAngiographyComputed axial tomographyCoronary computed tomographic angiographyElectrocardiographyExerciseHeart rateIschemiaMyocardial perfusion imagingPharmacologic stress testingRandomized trials ePublished: 19 January 2016 Issue Published: 19 January 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...