Evidence map›Paper›PMID 32181323›Full record

ArticleInternational journal of cardiology. Heart & vasculature2020

Ability of FFR-CT to detect the absence of hemodynamically significant lesions in patients with high-risk NSTE-ACS admitted in the emergency department with chest pain, study design and rationale.

David Meier, Ioannis Skalidis, Bernard De Bruyne, Salah Dine Qanadli, David Rotzinger, Eric Eeckhout, Carlos Collet, Olivier Muller, Stephane Fournier

Open access · goldAbstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Usefulness of FFR-CT to exclude haemodynamically significant lesions in high-risk NSTE-ACS.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. In search of new gatekeepers: coronary CT (Computed Tomography) in acute coronary syndrome.European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

David MeierDepartment of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.
Ioannis SkalidisDepartment of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.
Bernard De BruyneDepartment of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.
Salah Dine QanadliDepartment of Radiology, Lausanne University Hospital, Lausanne, Switzerland.
David RotzingerDepartment of Radiology, Lausanne University Hospital, Lausanne, Switzerland.
Eric EeckhoutDepartment of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.
Carlos ColletCardiovascular Center Aalst, Aalst, Belgium.
Olivier MullerDepartment of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.
Stephane FournierDepartment of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.
University of Lausanne · CHOnze Lieve Vrouwziekenhuis Hospital · BEUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the era of High-sensitive troponin (hs-Tn), up to 50% of patients with a mild increase of hs-Tn will finally have a normal invasive coronary angiogram. Fractional Flow Reserve (FFR) derived from coronary computed tomographic angiography (FFR-CT) has never been used as a non-invasive tool for the diagnosis of coronary artery disease in patients with high-risk acute coronary syndrome without ST segment elevation (NSTE-ACS).

aimsThe study aims to determine the role of coronary CT angiography and FFR-CT in the setting of high-risk NSTE-ACS. METHODOLOGY: We will conduct a prospective trial, enrolling 250 patients admitted with high-risk NSTE-ACS who will rapidly undergo a coronary CT angiography and then a coronary angiography with FFR measurements. Results of coronary CT, FFR-CT and coronary angiography (± FFR) will be compared. POTENTIAL SIGNIFICANCE: In conclusion, non-invasive identification of patients with high-risk NSTE-ACS who could avoid coronary angiography would reduce procedure related risks and medical costs.

Indexed as

ACS, Acute coronary syndromeAcute coronary syndromeAE, Adverse EventCMRI, Cardiac Magnetic resonance imagingCoronary computed tomographyCT, Computed tomographyECG, ElectrocardiogramED, Emergency departmentFFR-CTFFR-CT, FFR derived from coronary CTFFR, Fractional Flow ReserveFractional Flow ReserveHs-Tn, High-sensitive troponinsMACE, Major adverse cardiac eventsMI, Myocardial infractionNSTE-ACS, Acute coronary syndromes without ST-segment elevationNSTEMI, Non-ST-elevation myocardial infarctionPCI, Percutaneous Coronary InterventionSTEMI, ST-elevation myocardial infarctionURL, Upper Range Limit

Identifiers

PMID32181323
PMCPMC7063126
OpenAlexW3009565206

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.