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Jesper Møller Jensen

Hjertecomputertomografi til udredning for atypiske brystsmerter

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Standard

Hjertecomputertomografi til udredning for atypiske brystsmerter. / Ovrehus, Kristian Altern; Jensen, Jesper Khédri; Jensen, Jesper Møller et al.
In: Ugeskrift for Laeger, Vol. 171, No. 38, 14.09.2009, p. 2728-32.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Harvard

Ovrehus, KA, Jensen, JK, Jensen, JM, Munkholm, H & Nørgaard, BL 2009, 'Hjertecomputertomografi til udredning for atypiske brystsmerter', Ugeskrift for Laeger, vol. 171, no. 38, pp. 2728-32.

APA

Ovrehus, K. A., Jensen, J. K., Jensen, J. M., Munkholm, H., & Nørgaard, B. L. (2009). Hjertecomputertomografi til udredning for atypiske brystsmerter. Ugeskrift for Laeger, 171(38), 2728-32.

CBE

Ovrehus KA, Jensen JK, Jensen JM, Munkholm H, Nørgaard BL. 2009. Hjertecomputertomografi til udredning for atypiske brystsmerter. Ugeskrift for Laeger. 171(38):2728-32.

MLA

Ovrehus, Kristian Altern et al. "Hjertecomputertomografi til udredning for atypiske brystsmerter". Ugeskrift for Laeger. 2009, 171(38). 2728-32.

Vancouver

Ovrehus KA, Jensen JK, Jensen JM, Munkholm H, Nørgaard BL. Hjertecomputertomografi til udredning for atypiske brystsmerter. Ugeskrift for Laeger. 2009 Sept 14;171(38):2728-32.

Author

Ovrehus, Kristian Altern ; Jensen, Jesper Khédri ; Jensen, Jesper Møller et al. / Hjertecomputertomografi til udredning for atypiske brystsmerter. In: Ugeskrift for Laeger. 2009 ; Vol. 171, No. 38. pp. 2728-32.

Bibtex

@article{05249e2be094484db08b598599af6d22,
title = "Hjertecomputertomografi til udredning for atypiske brystsmerter",
abstract = "INTRODUCTION: Coronary CT angiography (CTA) is a promising method used for diagnostic evaluation of patients suspected of coronary artery disease (CAD). CTA is increasingly used as an alternative to conventional coronary angiography. Information on the diagnostic and therapeutic consequences of using CTA in the diagnostic work-up of patients suspected of CAD is sparse.MATERIAL AND METHODS: Out-clinic patients (n = 215) with chest pain and an intermediate pre-test probability of CAD were referred to diagnostic evaluation by CTA.RESULTS: CTA was not performed in 5% (11/215) due to extensive coronary calcification or arrhythmia, was non-conclusive in 7% (15/215) and was diagnostic in 88% (189/215) of the patients. CTA excluded CAD in 46% (99/215) of the patients. No further diagnostic or hospital follow-up after CTA was necessary in 73% (156/215) of the patients. CTA identified non-significant CAD in 27% (57/215) and significant CAD (>or= 50% stenosis) in 15% (33/215) of the patients. The proportion of patients with CAD in relevant antithrombotic and lipid-lowering medication increased following CTA. Further diagnostic evaluation with coronary angiography following CTA was indicated in 18% (39/215) of the patients due to obstructive CAD (n = 21), non-diagnostic examination (n = 7), or the presence of extensive coronary calcification or arrhythmia (n = 11).CONCLUSION: CTA ruled-out CAD in 46% of the patients. No further diagnostic testing or hospital follow-up after CTA was necessary in 73% of the patients. CTA seems valuable in excluding CAD, and may prevent unnecessary invasive angiography in patients without CAD.",
keywords = "Adult, Aged, Aged, 80 and over, Angina Pectoris, Chest Pain, Coronary Angiography, Coronary Artery Disease, Diagnosis, Differential, Female, Follow-Up Studies, Humans, Male, Middle Aged, Outpatients, Predictive Value of Tests, Tomography, X-Ray Computed, English Abstract, Journal Article",
author = "Ovrehus, {Kristian Altern} and Jensen, {Jesper Kh{\'e}dri} and Jensen, {Jesper M{\o}ller} and Henrik Munkholm and N{\o}rgaard, {Bjarne Linde}",
year = "2009",
month = sep,
day = "14",
language = "Dansk",
volume = "171",
pages = "2728--32",
journal = "Ugeskrift for Laeger",
issn = "0041-5782",
publisher = "Den Almindelige Danske L{\ae}geforening",
number = "38",

}

RIS

TY - JOUR

T1 - Hjertecomputertomografi til udredning for atypiske brystsmerter

AU - Ovrehus, Kristian Altern

AU - Jensen, Jesper Khédri

AU - Jensen, Jesper Møller

AU - Munkholm, Henrik

AU - Nørgaard, Bjarne Linde

PY - 2009/9/14

Y1 - 2009/9/14

N2 - INTRODUCTION: Coronary CT angiography (CTA) is a promising method used for diagnostic evaluation of patients suspected of coronary artery disease (CAD). CTA is increasingly used as an alternative to conventional coronary angiography. Information on the diagnostic and therapeutic consequences of using CTA in the diagnostic work-up of patients suspected of CAD is sparse.MATERIAL AND METHODS: Out-clinic patients (n = 215) with chest pain and an intermediate pre-test probability of CAD were referred to diagnostic evaluation by CTA.RESULTS: CTA was not performed in 5% (11/215) due to extensive coronary calcification or arrhythmia, was non-conclusive in 7% (15/215) and was diagnostic in 88% (189/215) of the patients. CTA excluded CAD in 46% (99/215) of the patients. No further diagnostic or hospital follow-up after CTA was necessary in 73% (156/215) of the patients. CTA identified non-significant CAD in 27% (57/215) and significant CAD (>or= 50% stenosis) in 15% (33/215) of the patients. The proportion of patients with CAD in relevant antithrombotic and lipid-lowering medication increased following CTA. Further diagnostic evaluation with coronary angiography following CTA was indicated in 18% (39/215) of the patients due to obstructive CAD (n = 21), non-diagnostic examination (n = 7), or the presence of extensive coronary calcification or arrhythmia (n = 11).CONCLUSION: CTA ruled-out CAD in 46% of the patients. No further diagnostic testing or hospital follow-up after CTA was necessary in 73% of the patients. CTA seems valuable in excluding CAD, and may prevent unnecessary invasive angiography in patients without CAD.

AB - INTRODUCTION: Coronary CT angiography (CTA) is a promising method used for diagnostic evaluation of patients suspected of coronary artery disease (CAD). CTA is increasingly used as an alternative to conventional coronary angiography. Information on the diagnostic and therapeutic consequences of using CTA in the diagnostic work-up of patients suspected of CAD is sparse.MATERIAL AND METHODS: Out-clinic patients (n = 215) with chest pain and an intermediate pre-test probability of CAD were referred to diagnostic evaluation by CTA.RESULTS: CTA was not performed in 5% (11/215) due to extensive coronary calcification or arrhythmia, was non-conclusive in 7% (15/215) and was diagnostic in 88% (189/215) of the patients. CTA excluded CAD in 46% (99/215) of the patients. No further diagnostic or hospital follow-up after CTA was necessary in 73% (156/215) of the patients. CTA identified non-significant CAD in 27% (57/215) and significant CAD (>or= 50% stenosis) in 15% (33/215) of the patients. The proportion of patients with CAD in relevant antithrombotic and lipid-lowering medication increased following CTA. Further diagnostic evaluation with coronary angiography following CTA was indicated in 18% (39/215) of the patients due to obstructive CAD (n = 21), non-diagnostic examination (n = 7), or the presence of extensive coronary calcification or arrhythmia (n = 11).CONCLUSION: CTA ruled-out CAD in 46% of the patients. No further diagnostic testing or hospital follow-up after CTA was necessary in 73% of the patients. CTA seems valuable in excluding CAD, and may prevent unnecessary invasive angiography in patients without CAD.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Angina Pectoris

KW - Chest Pain

KW - Coronary Angiography

KW - Coronary Artery Disease

KW - Diagnosis, Differential

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Outpatients

KW - Predictive Value of Tests

KW - Tomography, X-Ray Computed

KW - English Abstract

KW - Journal Article

M3 - Tidsskriftartikel

C2 - 19758495

VL - 171

SP - 2728

EP - 2732

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

IS - 38

ER -