Literature DB >> 28572221

The 2016 update to NICE CG95 guideline for the -investigation of new onset stable chest pain: more -innovation, but at a cost?

Khaled Alfakih1, John P Greenwood2, Sven Plein2.   

Abstract

The National Institute for Health and Care Excellence (NICE) published an update on its guideline on chest pain of recent onset in 2016. The new guideline makes three key changes to the 2010 version. NICE recommend that the previously proposed pre-test probability risk score should no longer be used. They also recommend that a calcium score of zero should no longer be used to rule out coronary artery disease in patients with low pre-test probability. However, the most radical change is that NICE now recommend that all patients with new onset chest pain should be investigated with a computerised tomography coronary angiogram as a first-ine investigation. We discuss the recent trial evidence that has informed the NICE update and consider the impact of the new guidelines. © Royal College of Physicians 2017. All rights reserved.

Entities:  

Keywords:  CT coronary angiography; Coronary artery disease; NICE; guidelines; stable chest pain

Mesh：

Year:  2017        PMID： 28572221      PMCID： PMC6297566          DOI： 10.7861/clinmedicine.17-3-209

Source DB:  PubMed          Journal:  Clin Med (Lond)        ISSN： 1470-2118            Impact factor:   2.659


  11 in total

1.  2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology.

Authors:  Gilles Montalescot; Udo Sechtem; Stephan Achenbach; Felicita Andreotti; Chris Arden; Andrzej Budaj; Raffaele Bugiardini; Filippo Crea; Thomas Cuisset; Carlo Di Mario; J Rafael Ferreira; Bernard J Gersh; Anselm K Gitt; Jean-Sebastien Hulot; Nikolaus Marx; Lionel H Opie; Matthias Pfisterer; Eva Prescott; Frank Ruschitzka; Manel Sabaté; Roxy Senior; David Paul Taggart; Ernst E van der Wall; Christiaan J M Vrints; Jose Luis Zamorano; Stephan Achenbach; Helmut Baumgartner; Jeroen J Bax; Héctor Bueno; Veronica Dean; Christi Deaton; Cetin Erol; Robert Fagard; Roberto Ferrari; David Hasdai; Arno W Hoes; Paulus Kirchhof; Juhani Knuuti; Philippe Kolh; Patrizio Lancellotti; Ales Linhart; Petros Nihoyannopoulos; Massimo F Piepoli; Piotr Ponikowski; Per Anton Sirnes; Juan Luis Tamargo; Michal Tendera; Adam Torbicki; William Wijns; Stephan Windecker; Juhani Knuuti; Marco Valgimigli; Héctor Bueno; Marc J Claeys; Norbert Donner-Banzhoff; Cetin Erol; Herbert Frank; Christian Funck-Brentano; Oliver Gaemperli; José R Gonzalez-Juanatey; Michalis Hamilos; David Hasdai; Steen Husted; Stefan K James; Kari Kervinen; Philippe Kolh; Steen Dalby Kristensen; Patrizio Lancellotti; Aldo Pietro Maggioni; Massimo F Piepoli; Axel R Pries; Francesco Romeo; Lars Rydén; Maarten L Simoons; Per Anton Sirnes; Ph Gabriel Steg; Adam Timmis; William Wijns; Stephan Windecker; Aylin Yildirir; Jose Luis Zamorano
Journal:  Eur Heart J       Date:  2013-08-30       Impact factor: 29.983

2.  Comparison of ESC and NICE guidelines for patients with suspected coronary artery disease: evaluation of the pre-test probability risk scores in clinical practice.

Authors:  Ozan M Demir; Peter Dobson; Nikolaos D Papamichael; Jonathan Byrne; Sven Plein; Khaled Alfakih
Journal:  Clin Med (Lond)       Date:  2015-06       Impact factor: 2.659

3.  2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons.

Authors:  Stephan D Fihn; Julius M Gardin; Jonathan Abrams; Kathleen Berra; James C Blankenship; Apostolos P Dallas; Pamela S Douglas; Joanne M Foody; Thomas C Gerber; Alan L Hinderliter; Spencer B King; Paul D Kligfield; Harlan M Krumholz; Raymond Y K Kwong; Michael J Lim; Jane A Linderbaum; Michael J Mack; Mark A Munger; Richard L Prager; Joseph F Sabik; Leslee J Shaw; Joanna D Sikkema; Craig R Smith; Sidney C Smith; John A Spertus; Sankey V Williams; Jeffrey L Anderson
Journal:  Circulation       Date:  2012-11-19       Impact factor: 29.690

4.  European Society of Cardiology-Recommended Coronary Artery Disease Consortium Pretest Probability Scores More Accurately Predict Obstructive Coronary Disease and Cardiovascular Events Than the Diamond and Forrester Score: The Partners Registry.

Authors:  Marcio Sommer Bittencourt; Edward Hulten; Tamar S Polonsky; Udo Hoffman; Khurram Nasir; Suhny Abbara; Marcelo Di Carli; Ron Blankstein
Journal:  Circulation       Date:  2016-07-13       Impact factor: 29.690

5.  A clinical prediction rule for the diagnosis of coronary artery disease: validation, updating, and extension.

Authors:  Tessa S S Genders; Ewout W Steyerberg; Hatem Alkadhi; Sebastian Leschka; Lotus Desbiolles; Koen Nieman; Tjebbe W Galema; W Bob Meijboom; Nico R Mollet; Pim J de Feyter; Filippo Cademartiri; Erica Maffei; Marc Dewey; Elke Zimmermann; Michael Laule; Francesca Pugliese; Rossella Barbagallo; Valentin Sinitsyn; Jan Bogaert; Kaatje Goetschalckx; U Joseph Schoepf; Garrett W Rowe; Joanne D Schuijf; Jeroen J Bax; Fleur R de Graaf; Juhani Knuuti; Sami Kajander; Carlos A G van Mieghem; Matthijs F L Meijs; Maarten J Cramer; Deepa Gopalan; Gudrun Feuchtner; Guy Friedrich; Gabriel P Krestin; M G Myriam Hunink
Journal:  Eur Heart J       Date:  2011-03-02       Impact factor: 29.983

6.  Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging in Patients With Chest Pain Admitted to Telemetry: A Randomized Trial.

Authors:  Jeffrey M Levsky; Daniel M Spevack; Mark I Travin; Mark A Menegus; Paul W Huang; Elana T Clark; Choo-Won Kim; Esther Hirschhorn; Katherine D Freeman; Jonathan N Tobin; Linda B Haramati
Journal:  Ann Intern Med       Date:  2015-08-04       Impact factor: 25.391

7.  Performance of the traditional age, sex, and angina typicality-based approach for estimating pretest probability of angiographically significant coronary artery disease in patients undergoing coronary computed tomographic angiography: results from the multinational coronary CT angiography evaluation for clinical outcomes: an international multicenter registry (CONFIRM).

Authors:  Victor Y Cheng; Daniel S Berman; Alan Rozanski; Allison M Dunning; Stephan Achenbach; Mouaz Al-Mallah; Matthew J Budoff; Filippo Cademartiri; Tracy Q Callister; Hyuk-Jae Chang; Kavitha Chinnaiyan; Benjamin J W Chow; Augustin Delago; Millie Gomez; Martin Hadamitzky; Jörg Hausleiter; Ronald P Karlsberg; Philipp Kaufmann; Fay Y Lin; Erica Maffei; Gilbert L Raff; Todd C Villines; Leslee J Shaw; James K Min
Journal:  Circulation       Date:  2011-10-24       Impact factor: 29.690

8.  Outcomes of anatomical versus functional testing for coronary artery disease.

Authors:  Pamela S Douglas; Udo Hoffmann; Manesh R Patel; Daniel B Mark; Hussein R Al-Khalidi; Brendan Cavanaugh; Jason Cole; Rowena J Dolor; Christopher B Fordyce; Megan Huang; Muhammad Akram Khan; Andrzej S Kosinski; Mitchell W Krucoff; Vinay Malhotra; Michael H Picard; James E Udelson; Eric J Velazquez; Eric Yow; Lawton S Cooper; Kerry L Lee
Journal:  N Engl J Med       Date:  2015-03-14       Impact factor: 91.245

9.  Exposure to low-dose ionizing radiation from medical imaging procedures.

Authors:  Reza Fazel; Harlan M Krumholz; Yongfei Wang; Joseph S Ross; Jersey Chen; Henry H Ting; Nilay D Shah; Khurram Nasir; Andrew J Einstein; Brahmajee K Nallamothu
Journal:  N Engl J Med       Date:  2009-08-27       Impact factor: 91.245

10.  Value of the history and physical in identifying patients at increased risk for coronary artery disease.

Authors:  D B Pryor; L Shaw; C B McCants; K L Lee; D B Mark; F E Harrell; L H Muhlbaier; R M Califf
Journal:  Ann Intern Med       Date:  1993-01-15       Impact factor: 25.391
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  5 in total

1.  Targeting limited NHS resources to affect optimal care.

Authors:  Ed Nicol
Journal:  Clin Med (Lond)       Date:  2017-06       Impact factor: 2.659

Review 2.  Old and New NICE Guidelines for the Evaluation of New Onset Stable Chest Pain: A Real World Perspective.

Authors:  Nazario Carrabba; Angela Migliorini; Silvia Pradella; Manlio Acquafresca; Marco Guglielmo; Andrea Baggiano; Giuseppe Moscogiuri; Renato Valenti
Journal:  Biomed Res Int       Date:  2018-11-08       Impact factor: 3.411

3.  CT coronary angiography and COVID-19: inpatient use in acute chest pain service.

Authors:  Michael Cronin; Peter Wheen; Richard Armstrong; Rajesh Kumar; Alannah McMahon; Max White; Niall Sheehy; Geraldine McMahon; Ross T Murphy; Caroline Daly
Journal:  Open Heart       Date:  2021-03

4.  Cardiac Magnetic Resonance Versus Single-Photon Emission Computed Tomography for Detecting Coronary Artery Disease and Myocardial Ischemia: Comparison with Coronary Angiography.

Authors:  Fotios Laspas; Theodoros Pipikos; Emmanouil Karatzis; Nikolaos Georgakopoulos; Vasileios Prassopoulos; John Andreou; Lia A Moulopoulos; Achilleas Chatziioannou; Peter G Danias
Journal:  Diagnostics (Basel)       Date:  2020-03-29

Review 5.  Noninvasive Testing for Diagnosis of Stable Coronary Artery Disease in the Elderly.

Authors:  Sergey G Kozlov; Olga V Chernova; Elena V Gerasimova; Ekaterina A Ivanova; Alexander N Orekhov
Journal:  Int J Mol Sci       Date:  2020-08-29       Impact factor: 5.923
  5 in total

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