Article Text

Download PDFPDF
Predischarge coronary angiography was better than exercise testing for reducing hospital use after low-risk chest pain

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 QUESTION: In low-risk patients evaluated for chest pain, does a strategy of predischarge coronary angiography (CA) reduce repeated visits and admissions to the emergency department (ED) more than a strategy of predischarge exercise treadmill testing (ETT)?


Randomised {allocation concealed*}, {unblinded}* controlled trial with a median of 375 days of follow up.


A chest pain unit at the University of Texas Medical Branch at Galveston, Texas, USA.


248 patients 20 to 65 years of age with a ≤ 7% probability of acute myocardial infarction (MI) according to the Goldman algorithm, an absence of electrocardiographic and biochemical markers for ischaemia or infarction, an ability to exercise, and no previous coronary artery disease (CAD). Exclusion criteria were a previous CA or ETT or electrocardiogram confounders for ETT interpretation. 96% of patients completed follow up.


123 patients were allocated to CA done with a standard femoral …

View Full Text


  • Source of funding: in part, Roche Diagnostics.

  • For correspondence: Dr C R deFilippi, University of Maryland, Department of Medicine, Division of Cardiology, Room G3K63, 22 South Greene Street, Baltimore, MD 21201-1595, USA. cdefilip{at}

  • * See glossary.

  • Information provided by author.