Changes in coronary disease management decisions in real-world practice between 2015 and 2023: insights from the EVAREST/BSE-NSTEP observational study

Coronary disease management pathways have changed within the UK and fewer patients with moderate ischaemia are undergoing invasive coronary angiography. However, coronary intervention rates are unchanged, suggesting that stress echocardiography is being used to improve patient selection for invasive procedures while minimizing unnecessary referrals. Future work will assess if this reduction in angiography referrals is maintained long term, and if there are any effects on patient outcomes.

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Publication Details

Journal
European Heart Journal - Cardiovascular Imaging
Published
2025-03-22
DOI
https://doi.org/10.1093/ehjci/jeaf099
Citations
1
Primary Topic
Cardiac, Anesthesia and Surgical Outcomes
Type
article
Field-Weighted Citation Impact
1.39
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article

Changes in coronary disease management decisions in real-world practice between 2015 and 2023: insights from the EVAREST/BSE-NSTEP observational study

Daniel Augustine, Katrin Balkhausen, Guy Lloyd, Azeem S Sheikh et al.
1 citations
European Heart Journal - Cardiovascular Imaging
Cardiac, Anesthesia and Surgical Outcomes
1.39
article

Changes in coronary disease management decisions in real-world practice between 2015 and 2023: insights from the EVAREST/BSE-NSTEP observational study

Daniel Augustine, Katrin Balkhausen, Guy Lloyd, Azeem S Sheikh, Sarah Fairbairn, Sanjay M Banypersad, Kathleen Rose, Nikant Sabharwal, Spyridon Zidros, David Oxborough, Maria F. Paton, Sadie Bennett, Eric J. Mao, Sushma Rekhraj, Rebecca Schofield, Abraheem Abraheem, Michaela Scheuermann‐Freestone, Naveed Razvi, Jacob C. Easaw, Badrinathan Chandrasekaran, Soroosh Firoozan, William Woodward, Jeremy Butts, Sudantha Bulugahapitiya, Kenneth Wong, Rizwan Sarwar, Jamie M. O’Driscoll, Attila Kardos, Muhammad Amer Rasheed, Shahnaz Jamil‐Copley, Ioannis Moukas, Gajen Kanaganayagam, Patrick H. Gibson, Casey L Johnson, Shaun Robinson, Christopher John Boos, Henry Boardman, Cameron Dockerill, D. R. Coles, Paul Leeson, Keith Pearce, Ronak Rajani, Alexandros Papachristidis, Thuraia Nageh, David P Ripley, Samuel Krasner, Rajan Sharma, Antonis Pantazis, James Willis, Joban Sehmi, Annabelle McCourt, Ayyaz Sultan, Haytham Hamdan, Tom Mwambingu
article en
1 citations

Abstract

Coronary disease management pathways have changed within the UK and fewer patients with moderate ischaemia are undergoing invasive coronary angiography. However, coronary intervention rates are unchanged, suggesting that stress echocardiography is being used to improve patient selection for invasive procedures while minimizing unnecessary referrals. Future work will assess if this reduction in angiography referrals is maintained long term, and if there are any effects on patient outcomes.

European Heart Journal - Cardiovascular ImagingVol. 26(7)
Centre College (US), University of Leeds (GB), Imperial College Healthcare NHS Trust (GB), University of Leicester (GB), King's College - North Carolina (US), Queen Mary University of London (GB), King's College London (GB), Royal United Hospital (GB), Wycombe General Hospital (GB), Royal Berkshire Hospital (GB), St George’s University Hospitals NHS Foundation Trust (GB), Milton Keynes Hospital (GB), Northwick Park Hospital (GB), Great Western Hospital (GB), University of Oxford (GB), Manchester University NHS Foundation Trust (GB), Blackpool Teaching Hospitals NHS Foundation Trust (GB), Cardiovascular Research Center (BR), Oxford University Hospitals NHS Trust (GB), Liverpool John Moores University (GB), University of Buckingham (GB)
Good health and well-being
Openalex Percentile: Top 21%
Cardiac, Anesthesia and Surgical Outcomes
1.39
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