Coronary CT Angiography for Stable Chest Pain: 10-Year Results from SCOT-HEART Trial
Study Overview
The SCOT-HEART trial showed that using coronary CT angiography (CCTA) improved the care of patients with stable chest pain. This study looks at whether these improvements last over time.
Methods
In this trial, patients aged 18-75 with possible stable angina were recruited from 12 clinics in Scotland. They were divided into two groups: one received standard care with CCTA, and the other received standard care alone. This 10-year analysis reviewed medical records for health outcomes.
Key Findings
- Less coronary heart disease death or heart attacks in the CCTA group (6.6% vs 8.2%).
- Fewer non-fatal heart attacks (4.3% vs 6.0%) and major cardiovascular events (8.3% vs 10.3%) in the CCTA group.
- Similar rates of heart procedures between the groups.
- More preventive therapy prescribed in the CCTA group (55.9% vs 49.0%).
Conclusion
After 10 years, CCTA-guided care resulted in lower rates of heart disease death and heart attacks. It shows that identifying heart issues early with CCTA can help in long-term heart health for patients with stable chest pain.
Funding
This study was supported by various health organizations including the Scottish Government and British Heart Foundation.
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