Computed tomography preferred over ICA for diagnosing CAD in younger patients with chest pain, suggests study
USA: A prespecified secondary analysis of the DISCHARGE randomized clinical trial including 3561 patients with stable chest pain determined if age is associated with the clinical outcomes after coronary computed tomography (CT) and invasive coronary angiography (ICA). The findings were published online in JAMA Cardiology on February 28, 2024.
The study revealed that age did not modify the effect of the randomization group on the primary outcome of MACE (major adverse cardiovascular events); study results showed that major procedure-related complications were linked with age and the randomization group, being lower in younger patients receiving CT.
Based on the study, the researchers suggested considering CT as the preferred method for younger patients in cardiac outcomes related to major procedure-related complications.
ICA is an established technique for the diagnosis and treatment of obstructive coronary artery disease (CAD), but coronary CT is a noninvasive alternative for ruling out obstructive CAD in stable chest pain patients. However, the choice between the two can be difficult. Age is a cardiovascular risk factor, but it is unknown whether it should be a factor in deciding between ICA or CT.
Disclaimer: This website is primarily for healthcare professionals. The content here does not replace medical advice and should not be used as medical, diagnostic, endorsement, treatment, or prescription advice. Medical science evolves rapidly, and we strive to keep our information current. If you find any discrepancies, please contact us at corrections@medicaldialogues.in. Read our Correction Policy here. Nothing here should be used as a substitute for medical advice, diagnosis, or treatment. We do not endorse any healthcare advice that contradicts a physician's guidance. Use of this site is subject to our Terms of Use, Privacy Policy, and Advertisement Policy. For more details, read our Full Disclaimer here.
NOTE: Join us in combating medical misinformation. If you encounter a questionable health, medical, or medical education claim, email us at factcheck@medicaldialogues.in for evaluation.