ArticleFuture cardiology2010
Is elective coronary angiography overused in patients with suspected coronary artery disease?
Article in Future cardiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed, 3 citations in OpenAlex.
- Patients ≥ 75 years with acute coronary syndrome but without critical epicardial coronary disease: prevalence, characteristics, and outcome.Journal of geriatric cardiology : JGC · 2015Article
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Evaluation of: Patel M, Peterson E, Dai D et al.: Low diagnostic yield of elective coronary angiography. N. Engl. J. Med. 362, 886-895 (2010). Guidelines for triaging patients for cardiac catheterization recommend risk assessment and noninvasive testing. The article by Patel et al. analyzes 398,978 patients and shows that only 37.6% had obstructive coronary artery disease at catheterization. No coronary artery stenosis (defined as <20% stenosis in all vessels) was reported in 39.2% of the patients. Independent predictors of obstructive coronary artery disease included male sex (odds ratio [OR]: 2.70; 95% CI: 2.64-2.76), older age (OR: 1.29; 95% CI: 1.28-1.30), presence of diabetes (OR: 2.14; 95% CI: 2.07-2.21) and dyslipidemia (OR: 1.62; 95% CI: 1.57-1.67). Patients with a positive result on a noninvasive test were moderately more likely to have obstructive coronary artery disease than those who did not undergo any testing (41 vs 35%; p < 0.001; adjusted OR: 1.28; 95% CI: 1.19-1.37). However, an angiogram's results do not tell us whether it was appropriately ordered. As the noninvasive testing variable included a wide range of procedures, we cannot speculate from the data how many diagnostic angiographies could have been avoided.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.