ArticleOpen heart
UK perspective on the changing landscape of non-invasive cardiac testing.
Article in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Direct access CT coronary angiography in patients referred with suspected cardiac chest pain: a novel patient pathway.Open heart · 2026Article
- Cardiovascular Prevention and Rehabilitation for Ischaemic Non-Obstructive Coronary Artery Disease: Implementation Considerations From a Survey of UK Health Professionals.Journal of advanced nursing · 2026Article
- Referral patterns and findings of patients undergoing CT coronary angiography.Qatar medical journal · 2026Article
- Multimodality Imaging for Diagnosis of Ischemic Heart Disease in Latin American Women from IAEA (International Atomic Energy Agency) Collaboratory.Current cardiology reports · 2025Review
- Mortality risk following ischaemic and non-ischaemic heart failure in people with type 2 diabetes: Observational study in England, 2000-2021.Diabetes, obesity & metabolism · 2025Observational
- Long-term outcomes after stress echocardiography in real-world practice: a 5-year follow-up of the UK EVAREST study.European heart journal. Cardiovascular Imaging · 2025Article
- Recovery of cardiovascular diagnostic testing in Italy 1 year after coronavirus disease-2019 outbreak compared with other countries in Europe and worldwide: results from the International Atomic Energy Agency INCAPS COVID 2 survey.European heart journal. Imaging methods and practice · 2024Article
- Awareness of strengths and weaknesses of cardiovascular magnetic resonance imaging: results from a questionnaire survey.European heart journal. Imaging methods and practice · 2024Article
- Article
- Real world hospital costs following stress echocardiography in the UK: a costing study from the EVAREST/BSE-NSTEP multi-entre study.Echo research and practice · 2023Article
- Cardiac coronary tomography angiography (CCTA) use across geographical regions in the USA and the UK: a cross-sectional study.BMJ surgery, interventions, & health technologies · 2023Article
- Real-world performance and accuracy of stress echocardiography: the EVAREST observational multi-centre study.European heart journal. Cardiovascular Imaging · 2022Article
- Regional variation in cardiovascular magnetic resonance service delivery across the UK.Heart (British Cardiac Society) · 2021Article
- Sex-based inequalities in contemporary UK hospital management of stable chest pain.Open heart · 2021Article
- Impact of COVID-19 on UK stress echocardiography practice: insights from the EVAREST sites.Echo research and practice · 2021Article
- Article
- Recent Trends and Potential Drivers of Non-invasive Cardiovascular Imaging Use in the United States of America and England.Frontiers in cardiovascular medicine · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Objective: To document UK rates of exercise treadmill testing, functional stress testing and CT coronary angiography (CTCA). Specific aims were to determine how rates have changed in the context of changing guideline recommendations within the UK and to identify regional inequalities in the utilisation of testing modalities. Secondary objectives were to compare these trends with national data on revascularisation. Methods: 159 acute National Health Service trusts were served Freedom of Information (FOI) requests to provide total numbers of CTCA and functional imaging tests for each financial year from 2011-2012 to 2016-2017. Results: The FOI requests yielded data from 88% of Trusts, increasing from 81.9% in 2011-2012% to 92.1% in 2016-2017. Exercise treadmill tests (ETTs) were performed by over 97% of Trusts. ETT was the most commonly performed diagnostic test in the UK across the study period despite declining by 8.4%. Utilisation of non-invasive stress imaging tests increased by 80.9% during the same period. Myocardial perfusion scintigraphy and stress echocardiography increased by 25.8% and 73.9%, respectively. The 268% increase in CTCA scans was yet greater. Trends in test utilisation during the study period showed important regional differences between devolved nations. Comparably, only small changes in rates of invasive coronary angiography and revascularisation have been reported during the study period. Conclusion: Non-invasive imaging in UK Trusts has increased substantially since 2010 with only a small decline in use of the ETT and minimal changes in rates of invasive coronary angiography and revascularisation in the same time period.
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