A new algorithm for the management of stable coronary artery disease incorporating CT coronary angiography and fractional flow reserve: how we can improve outcomes and reduce costs

Nathan Better, Myles B Webb, David L Prior, Steven A Unger and George Larcos
Med J Aust 2011; 194 (12): . || doi: 10.5694/j.1326-5377.2011.tb03167.x
Published online: 20 June 2011

To the Editor: Harper and Ko stress the importance of differentiating the presence of atherosclerosis from ischaemia,1 a concept that has been well understood for years. We agree that identifying myocardial ischaemia is important in the management of atherosclerosis; there are a variety of well validated non-invasive tools for this, including exercise electrocardiography, stress echocardiography, and nuclear myocardial perfusion imaging (MPI).

  • Nathan Better1
  • Myles B Webb2,0
  • David L Prior3
  • Steven A Unger4
  • George Larcos5

  • 1 Royal Melbourne Hospital, Melbourne, VIC.
  • 2 The Prince Charles Hospital, Brisbane, QLD.
  • 3 St Vincent’s Hospital, Melbourne, VIC.
  • 4 Queen Elizabeth Hospital, Adelaide, SA.
  • 5 Westmead Hospital, Sydney, NSW.



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