On Demand - Coronary CTA - Clinical Evidence and Guidelines Meet the Real World-Presentation Slides

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The document titled "Coronary CTA: Clinical Evidence and Guidelines Meet the Real World" provides information regarding the use of coronary CTA (computed tomography angiography) in the evaluation and management of chest pain. The document includes contributions from various experts in the field, such as Dr. Gregory Mishkel, MD, MBA, and Dr. Amit Pursnani, MD, MSc.<br /><br />The document highlights the clinical evidence and guidelines supporting the use of coronary CTA as a first-line approach for appropriately selected patients with both stable and acute chest pain syndromes. It emphasizes that coronary CTA is favored in patients under 65 years of age or when less obstructive CAD (coronary artery disease) is suspected. The document also discusses the high diagnostic sensitivity and negative predictive value of coronary CTA, as well as its role as a risk stratification tool for low-risk acute chest pain.<br /><br />The document acknowledges the barriers and challenges in implementing coronary CTA, including the impact on current revenue streams, physician compensation, and program resource allocation. It also highlights the importance of collaboration between cardiology and radiology, integration with hospital systems, and alignment with leadership and strategic goals.<br /><br />The document further discusses the growth and expansion of coronary CTA programs at NorthShore University Health System, emphasizing the need for clinical champions, resources for training, access to technology, system integration, reimbursement, and collaboration between cardiology and radiology departments.<br /><br />Overall, the document provides an overview of the clinical evidence, guidelines, challenges, and strategies related to the implementation of coronary CTA in the evaluation and management of chest pain, with a focus on real-world applications.

Keywords

Coronary CTA

computed tomography angiography

evaluation

management

chest pain

clinical evidence

guidelines

obstructive CAD

risk stratification

acute chest pain