ArticleThe European journal of general practice2025
Primary care patients' perspectives on CT coronary calcium scoring and exercise electrocardiography.
Article in The European journal of general practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundComputed tomography coronary calcium scoring (CT-CCS) shows higher sensitivity for obstructive coronary artery disease (OCAD) detection than exercise electrocardiography (x-ECG), but its role as initial diagnostic test in primary care remains unclear. OBJECTIVE(S): This study assessed patients' perspectives on CT-CCS or x-ECG testing and diagnostic results.
methodsIn this one-year pilot study, 38 general practitioner practices were included. After cluster randomisation, 19 practices were assigned to refer patients with atypical angina pectoris or non-specific thoracic complaints for CT-CCS and 19 practices were assigned to request x-ECG. Patients' management remained at the discretion of the GPs. Patients' perspectives on the diagnostic test were assessed through a questionnaire, and clinical data were collected using electronic patient records. Outcome measures included patients' perspectives, OCAD diagnosis and initiation of cardiovascular risk management (CVRM).
results101 patients (25 x-ECG; 76 CT-CCS) were included. Overall, CT-CCS patients were more satisfied with the test compared to x-ECG patients (
conclusionCT-CCS patients were overall more satisfied with their test than x-ECG patients. Coronary calcium scoring is a promising diagnostic tool for detecting OCAD in primary care.
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