Early computed tomography coronary angiography in adults presenting with suspected acute coronary syndrome: the RAPID-CTCA RCT

Gray, Alasdair J; Roobottom, Carl; Smith, Jason E; Goodacre, Steve; Oatey, Katherine; O’Brien, Rachel; Storey, Robert F; Curzen, Nick; Keating, Liza; Kardos, Attila; Felmeden, Dirk; Lee, Robert J; Thokala, Praveen; Lewis, Steff C; Newby, David E

doi:10.3310/IRWI5180

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This trial found that computed tomography coronary angiography did not alter 1-year all-cause death or subsequent myocardial infarction, but it did increase length of hospital stay and health-care cost.

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Alasdair J Gray ^1,^2,^*, Carl Roobottom ³, Jason E Smith ⁴, Steve Goodacre ⁵, Katherine Oatey ⁶, Rachel O’Brien ², Robert F Storey ⁷, Nick Curzen ⁸, Liza Keating ⁹, Attila Kardos ¹⁰, Dirk Felmeden ¹¹, Robert J Lee ⁶, Praveen Thokala ⁵, Steff C Lewis ⁶, David E Newby ^12,¹³

¹ Usher Institute, University of Edinburgh, Edinburgh, UK
² Department of Emergency Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK
³ Department of Radiology, University Hospitals Plymouth NHS Trust, Plymouth, UK
⁴ Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK
⁵ School of Health and Related Research, University of Sheffield, Sheffield, UK
⁶ Edinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, UK
⁷ Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK
⁸ Faculty of Medicine, University of Southampton and Coronary Research Group, University Hospital Southampton NHS Foundation Trust, Southampton, UK
⁹ Department of Emergency Medicine, Royal Berkshire NHS Foundation Trust, Reading, UK
¹⁰ Department of Cardiology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK
¹¹ Department of Cardiology, Torbay and South Devon NHS Foundation Trust, Torquay, UK
¹² Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK
¹³ Department of Cardiology, Royal Infirmary of Edinburgh, Edinburgh, UK
^* Corresponding author Email: alasdair.gray@ed.ac.uk

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