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Since the evolution of 64-multidetector CT in the early 2000s, use of coronary CT angiography (CCTA) has experienced rapid expansion due to excellent sensitivity to exclude obstructive coronary artery disease (CAD) in low to intermediate risk chest pain patients.1 Prior studies of acute chest pain patients have demonstrated a diagnostic strategy using CCTA to have comparable safety to usual care evaluation, generally radionuclide myocardial perfusion imaging (MPI), with the potential for more rapid triage but an increased rate of invasive coronary angiography (ICA) and revascularisation.2 Prior CCTA trials, like most cardiovascular studies, have enrolled predominantly Caucasian men.
At a …
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