Jul 2026· Research in Health Services & Regions· Vol 5· 0 citations· 19 references
Medicine
Abstract
Invasive coronary angiography (CAG) remains widely used in Norway, with 37% of procedures in 2022 yielding normal findings, indicating potential overuse. A national multidisciplinary task force performed a retrospective registry-based analysis and reviewed the European Society of Cardiology (ESC) guidelines to identify strategies aimed at reducing the utilization of CAG in patients with suspected coronary disease. Significant regional variation in CAG and Coronary Computed Tomography Angiography (CCTA) utilization was observed. Complication rates for CAG in stable patients were low, 0.6%. In patients with low and moderate pre-test probability and suspected Chronic Coronary Syndrome (CCS), CCTA is recommended as a first-line imaging test. Standardization of CCTA protocols and reports, using CAD-RADS 2.0, mandatory CCTA registration in Norwegian Registry of Invasive Cardiology (NORIC), and formal collaboration between radiologists and cardiologists are essential initiatives. The aim is to reduce invasive procedures not resulting in revascularization by 5–10 percentage points nationally.
Divergence between observed and guideline-recommended pathways was evident across all CAD-RADS categories, indicating a need for structured implementation of CAD-RADS-guided care pathways.
Jadwiga Fijałkowska, K. Sienkiewicz, Dorota Gałąska et al.· Kardiologia polska· 0 citations
Background: The European Society of Cardiology issued guidelines in 2019 and 2024 to help clinicians determine whether patients with stable chest pain (SCP) require advanced cardiovascular imaging testing (CIT). This study aimed to compare the safety and effectiveness of these evaluation strategies. Methods: A total of...
Han-Tao Jiang, Chang Liu, Chao Zhang et al.· Reviews in cardiovascular me...· 0 citations
CCTA is a non-invasive technique with shorter acquisition time and lower cost compared to invasive coronary angiography, thereby supporting more accurate and appropriate therapeutic decision-making in patients with coronary artery disease.
Duc Ha Hoang, Thu Phuong Hoang, Thi Vu et al.· Clinica Terapeutica· 0 citations
Advanced diagnostic testing was associated with a higher likelihood of a determined etiologic diagnosis in MINOCA, despite marked international variability in its use; however, this association is partly definitional, as advanced testing directly contributes to diagnostic ascertainment for several etiologic categories.
D. Morrone, M. Alberti, J. Cravo et al.· European Journal of Preventi...· 0 citations
Coronary artery disease (CAD) is a leading cause of morbidity and mortality worldwide. Although invasive coronary angiography (ICA) is the reference standard for diagnosing CAD, coronary computed tomography angiography (CCTA) has emerged as a valuable non-invasive alternative. This study compared the diagnostic perform...
Arya Farzollahzadeh, Mohammad-Javad Shahsavari, M. Mashoufi et al.· BMC Medical Imaging· 0 citations
A low proportion of Australian and New Zealand patients with SCAD received all recommended care, with particularly low rates of FMD screening and cardiac rehabilitation referral, but this did not apply to antiplatelet therapy.
Quan M. Dang, M. Zaheen, P. Pender et al.· Heart, Lung and Circulation· 0 citations
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