Computed Tomography Versus Exercise Testing in Suspected Coronary Artery Disease

Computed Tomography Versus Exercise Testing in Suspected Coronary Artery Disease

Direct non-invasive coronary imaging by computed tomography (CT) has the potential to improve the workup of patients with stable chest pain complaints. The objective of the study is to compare in a randomized fashion the effectiveness and efficiency of a CT angiographic driven workup of suspected coronary artery disease in comparison to the standard workup using stress testing.

Inclusion Criteria:

• Men and women aged >18 years.
• Stable symptoms of chest pain or dyspnea potentially caused by obstructive CAD.

Exclusion Criteria:

• A history of surgical or percutaneous coronary revascularization
• Non-revascularized angiographic obstructive coronary artery disease (>50% diameter reduction).
• Normal invasive coronary angiography or stress imaging less than 1 years ago.
• Inability or unwillingness to provide informed consent.