{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T07:09:59Z","timestamp":1773817799411,"version":"3.50.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T00:00:00Z","timestamp":1604880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"BHF"},{"name":"Intermediate Clinical Research Fellowship","award":["FS\/14\/78\/31020"],"award-info":[{"award-number":["FS\/14\/78\/31020"]}]},{"name":"Chair","award":["CH\/09\/002"],"award-info":[{"award-number":["CH\/09\/002"]}]},{"name":"Senior Clinical Research Fellowship","award":["FS\/16\/14\/32023"],"award-info":[{"award-number":["FS\/16\/14\/32023"]}]},{"name":"Scholarship","award":["CH\/09\/002"],"award-info":[{"award-number":["CH\/09\/002"]}]},{"name":"Research Excellence Award","award":["RE\/18\/5\/34216"],"award-info":[{"award-number":["RE\/18\/5\/34216"]}]},{"name":"Wellcome Trust Senior Investigator Award","award":["WT103782AIA"],"award-info":[{"award-number":["WT103782AIA"]}]},{"name":"Sir Jules Thorn Award for Biomedical Science","award":["15\/JTA"],"award-info":[{"award-number":["15\/JTA"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>The European Association of Cardiovascular Imaging (EACVI) Scientific Initiatives Committee performed a global survey to evaluate current practice for the assessment and management of patients with suspected and confirmed chronic coronary syndromes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>One-hundred and ten imaging centres from 37 countries across the world responded to the survey. Most non-invasive investigations for coronary artery disease were widely available, except cardiovascular magnetic resonance (available 40% centres). Coronary computed tomography angiography (CCTA) and nuclear scans were reported by a multi-disciplinary team in only a quarter of centres. In the initial assessment of patients presenting with chest pain, only 32% of respondents indicated that they rely on pre-test probability for selecting the optimal imaging test while 31% proceed directly to CCTA. In patients with established coronary artery disease and recurrent chest pain, respondents opted for stress echocardiography (27%) and nuclear stress perfusion scans (26%). In asymptomatic patients with coronary artery disease and an obstructive (&amp;gt;70%) right coronary artery stenosis, 58% of respondents were happy to pursue medical therapy without further testing or intervention. This proportion fell to 29% with left anterior descending artery stenosis and 1% with left main stem obstruction. In asymptomatic patients with evidence of moderate-to-severe myocardial ischaemia (15%), only 18% of respondents would continue medical therapy without further investigation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Despite guidelines recommendations pre-test probability is used to assess patients with suspected coronary artery in a minority of centres, one-third of centres moving directly to CCTA. Clinicians remain reticent to pursue a strategy of optimal medical therapy without further investigation or intervention in patients with controlled symptoms but obstructive coronary artery stenoses or myocardial ischaemia.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjci\/jeaa300","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T19:12:04Z","timestamp":1602875524000},"page":"1-7","source":"Crossref","is-referenced-by-count":14,"title":["EACVI survey on investigations and imaging modalities in chronic coronary syndromes"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5530-527X","authenticated-orcid":false,"given":"Anda","family":"Bularga","sequence":"first","affiliation":[{"name":"BHF Centre for Cardiovascular Science, Department of Cardiology, University of Edinburgh, Edinburgh, EH16 4SB, UK"}]},{"given":"Antti","family":"Saraste","sequence":"additional","affiliation":[{"name":"Edinburgh, EH16 4SB, Heart Center, Turku University Hospital, Turku, 20520, Finland"}]},{"given":"Ricardo","family":"Fontes-Carvalho","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Cardiovascular Research and Development Unit (UnIC), Faculty of Medicine, University of Porto, Porto, 4200-319, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8891-1372","authenticated-orcid":false,"given":"Espen","family":"Holte","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Olavs Hospital, Trondheim, 7006, Norway"},{"name":"Department of Circulation and Medical Imaging, Norwegian University of Science and Technology NTNU, Trondheim, 7006, Norway"}]},{"given":"Matteo","family":"Cameli","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, 53100, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0879-2204","authenticated-orcid":false,"given":"Blazej","family":"Michalski","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Medical University of Lodz, Lodz, 91-347, Poland"}]},{"given":"Michelle C","family":"Williams","sequence":"additional","affiliation":[{"name":"BHF Centre for Cardiovascular Science, Department of Cardiology, University of Edinburgh, Edinburgh, EH16 4SB, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6863-9546","authenticated-orcid":false,"given":"Tomaz","family":"Podlesnikar","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Medical Centre Maribor, Maribor, 2000, Slovenia"}]},{"given":"Antonello","family":"D\u2019Andrea","sequence":"additional","affiliation":[{"name":"Unit of Cardiology, Department of Translational Medical Sciences, Monaldi Hospital, University of Campania \u2018Luigi Vanvitelli\u2019, Naples, 80121, Italy"}]},{"given":"Ivan","family":"Stankovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Cardiology, Clinical Hospital Centre Zemun, University of Belgrade, Belgrade, 11080, Serbia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0533-7991","authenticated-orcid":false,"given":"Nicholas L","family":"Mills","sequence":"additional","affiliation":[{"name":"BHF Centre for Cardiovascular Science, Department of Cardiology, University of Edinburgh, Edinburgh, EH16 4SB, UK"}]},{"given":"Robert","family":"Manka","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, 8091, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7971-4628","authenticated-orcid":false,"given":"David E","family":"Newby","sequence":"additional","affiliation":[{"name":"BHF Centre for Cardiovascular Science, Department of Cardiology, University of Edinburgh, Edinburgh, EH16 4SB, UK"}]},{"given":"Jeanette","family":"Schultz-Menger","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology, Charit\u00e9 Medical Faculty of the Humboldt University Berlin, Berlin, 13125, Germany"},{"name":"DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, 13125, Germany"},{"name":"Helios Clinics Berlin-Buch, Department of Cardiology, Berlin, 13125, Germany"}]},{"given":"Kristina H","family":"Haugaa","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Oslo University Hospital, Oslo, 0424, Norway"},{"name":"Institute for Clinical Medicine, University of Oslo, Oslo, 0318, Norway"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9847-5917","authenticated-orcid":false,"given":"Marc R","family":"Dweck","sequence":"additional","affiliation":[{"name":"BHF Centre for Cardiovascular Science, Department of Cardiology, University of Edinburgh, Edinburgh, EH16 4SB, 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