Diagnostic Accuracy and Clinical Utility of Noninvasive Testing for Coronary Artery Disease
Authors: Ali Salavati, Farid Radmanesh, Shadi A. Esfahani
Journal: Annals of Internal Medicine (2011)

Letters15 February 2011Diagnostic Accuracy and Clinical Utility of Noninvasive Testing for Coronary Artery DiseaseAli Salavati, MD, MPH, Farid Radmanesh, MD, MPH, and Shadi A. Esfahani, MD, MPHAli Salavati, MD, MPHFrom Zentralklinik Bad Berka, 99437 Bad Berka, Germany.Search for more papers by this author, Farid Radmanesh, MD, MPHFrom Zentralklinik Bad Berka, 99437 Bad Berka, Germany.Search for more papers by this author, and Shadi A. Esfahani, MD, MPHFrom Zentralklinik Bad Berka, 99437 Bad Berka, Germany.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-154-4-201102150-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Weustink and colleagues (1) suggested stress testing as a first-line diagnostic study in patients with low pretest probability of coronary artery disease (CAD); however, they did not clarify which kind of stress testing should be used. In their study, stress testing comprised exercise electrocardiography (ECG) and pharmacologic single-photon emission computed tomography (SPECT) according to current guidelines. Although the authors did not state the proportion of patients in each pretest probability group who underwent different types of stress testing, exercise ECG was inconclusive in 118 patients (23% of all participants).According to a report by the National Council ...References1. Weustink AC, Mollet NR, Neefjes LA, Meijboom WB, Galema TW, van Mieghem CA, et al. Diagnostic accuracy and clinical utility of noninvasive testing for coronary artery disease. Ann Intern Med. 2010;152:630-9. [PMID: 20479028] LinkGoogle Scholar2. National Council on Radiation Protection and Measurements. Report No. 160—Ionizing Radiation Exposure of the Population of the United States (2009). Bethesda, MD: National Council on Radiation Protection and Measurements; 2009. Google Scholar3. Garber AM, Solomon . Cost-effectiveness of alternative test strategies for the diagnosis of coronary artery disease. Ann Intern Med. 1999;130:719-28. [PMID: 10357690] LinkGoogle Scholar4. Mahajan N, Polavaram L, Vankayala H, Ference B, Wang Y, Ager J, et al. Diagnostic accuracy of myocardial perfusion imaging and stress echocardiography for the diagnosis of left main and triple vessel coronary artery disease: a comparative meta-analysis. Heart. 2010;96:956-66. [PMID: 20538671] CrossrefMedlineGoogle Scholar5. Einstein AJ, Moser KW, Thompson RC, Cerqueira MD, Henzlova MJ. Radiation dose to patients from cardiac diagnostic imaging. Circulation. 2007;116:1290-305. [PMID: 17846343] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Zentralklinik Bad Berka, 99437 Bad Berka, Germany.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCost-Effectiveness of Alternative Test Strategies for the Diagnosis of Coronary Artery Disease Alan M. Garber and Neil A. Solomon Diagnostic Accuracy and Clinical Utility of Noninvasive Testing for Coronary Artery Disease Annick C. Weustink , Nico R. Mollet , Lisan A. Neefjes , W. Bob Meijboom , Tjebbe W. Galema , Carlos A. van Mieghem , Stamatis Kyrzopoulous , Rick Neoh Eu , Koen Nieman , Filippo Cademartiri , Robert-Jan van Geuns , Eric Boersma , Gabriel P. Krestin , and Pim J. de Feyter Diagnostic Accuracy and Clinical Utility of Noninvasive Testing for Coronary Artery Disease Annick C. Weustink and Pim J. de Feyter Diagnostic Performance of Low-Radiation-Dose Coronary Computed Tomography Angiography Ali Salavati and Farid Radmanesh Metrics Cited ByAssessment of Global Cardiac Uptake of Radiolabeled Iron Oxide Nanoparticles in Apolipoprotein-E-Deficient Mice: Implications for Imaging Cardiovascular InflammationEvidence for prospective ECG-triggering coronary CT angiography in routine practiceDual-source computed tomography angiography for diagnosis and assessment of coronary artery disease: Systematic review and meta-analysis 15 February 2011Volume 154, Issue 4Page: 290KeywordsAngiographyComputed axial tomographyDiagnostic imagingEchocardiographyElectrocardiographyExercisePharmacologic stress testingStable coronary artery diseaseStenosis ePublished: 15 February 2011 Issue Published: 15 February 2011 CopyrightCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...