Coronary Computed Tomographic Angiography

Publication Date: November 19, 2020
Last Updated: November 28, 2023

Recommendations

Evaluation of Stable Coronary Artery Disease: Coronary CTA in Native Vessels

•It is appropriate to perform CTA as the first line test for evaluating patients with no known CAD who present with stable typical or atypical chest pain, or other symptoms which are thought to represent a possible anginal equivalent (e.g., dyspnea on exertion, jaw pain).
•It is appropriate to perform CTA as a first line test for evaluating patients with known CAD who present with stable typical or atypical chest pain, or other symptoms which are thought to represent a possible anginal equivalent (e.g., dyspnea on exertion, jaw pain).
•It is appropriate to perform coronary CTA following a non-conclusive functional test, in order to obtain more precision regarding diagnosis and prognosis, if such information will influence subsequent patient management.
•It is recommended to perform CTA as the first line test when considering evaluation for revascularization strategies using the ISCHEMIA Trial.
•It may be appropriate to perform CTA in selected asymptomatic high risk individuals, especially in those who have a higher likelihood of having a large amount of non-calcified plaque
•It is rarely appropriate to perform coronary CTA in very low risk symptomatic patients, e.g., <40 years of age with non-cardiac symptoms (chest wall pain, pleuritic chest pain).
•It is rarely appropriate to perform CTA in low- and intermediate risk asymptomatic patients.
6731

Overview

Title

Coronary Computed Tomographic Angiography

Authoring Organization