Clinical Inquiries: What is the best noninvasive diagnostic test for women with suspected CAD?
Multidetector computed tomography (MDCT) may be the most sensitive and specific noninvasive diagnostic test for women with suspected coronary artery disease (CAD) (strength of recommendation [SOR]: A, multiple prospective cohort studies). However, stress echocardiography and nuclear medicine perfusion testing are still the best well-tested and readily available alternatives in light of the newness of MDCT and concerns regarding its use (SOR: A, meta-analysis and cohort studies). Standard exercise treadmill testing (ETT) doesn't adequately exclude or confirm CAD in women (SOR: A, multiple prospective cohort studies).
Starr
Hillary
H
University of Washington Department of Family Medicine, Tacoma Family Medicine Residency Program, Tacoma, WA, USA.
Powers
Laurel
L
Safranek
Sarah
S
D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis*; D025401:Echocardiography, Stress; D005080:Exercise Test; D005260:Female; D006334:Heart Function Tests; D006801:Humans; D055414:Myocardial Perfusion Imaging; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000379:methods; D016387:Women's Health