2016年英国国家卫生与临床优化研究所（NICE）关于新发稳定型胸痛调查的CG95指南更新：更多创新，但要付出代价？
The 2016 update to NICE CG95 guideline for the -investigation of new onset stable chest pain: more -innovation, but at a cost?
作者信息
Alfakih Khaled, Greenwood John P, Plein Sven
机构信息
Department of Cardiology, University Hospital Lewisham, London, UK;
Multidisciplinary Cardiovascular Research Centre & Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
出版信息
Clin Med (Lond). 2017 Jun;17(3):209-211. doi: 10.7861/clinmedicine.17-3-209.
The National Institute for Health and Care Excellence (NICE) published an update on its guideline on chest pain of recent onset in 2016. The new guideline makes three key changes to the 2010 version. NICE recommend that the previously proposed pre-test probability risk score should no longer be used. They also recommend that a calcium score of zero should no longer be used to rule out coronary artery disease in patients with low pre-test probability. However, the most radical change is that NICE now recommend that all patients with new onset chest pain should be investigated with a computerised tomography coronary angiogram as a first-ine investigation. We discuss the recent trial evidence that has informed the NICE update and consider the impact of the new guidelines.
英国国家卫生与临床优化研究所（NICE）于2016年发布了其关于近期发作胸痛指南的更新内容。新指南对2010年版本做出了三项关键更改。NICE建议不再使用先前提出的检测前概率风险评分。他们还建议，对于检测前概率较低的患者，不应再使用零钙评分来排除冠状动脉疾病。然而，最根本的变化是，NICE现在建议所有新发胸痛患者应首先接受计算机断层扫描冠状动脉造影检查。我们讨论了为NICE更新提供依据的近期试验证据，并考虑了新指南的影响。
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