Can routine cardiac CT in patients with acute coronary syndrome and prior bypass grafts improve clinical decisions?

Can routine cardiac CT in patients with acute coronary syndrome and prior bypass grafts improve clinical decisions?

From Heart Podcast by BMJ Group

May 19, 2026 · 15 min

About this episode

The episode discusses the impact of routine cardiac CT on clinical decisions for patients with acute coronary syndrome and prior bypass grafts.

In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Matthew Kelham from Bart's Hospital in London, UK. They discuss the difficulties in deciding the best strategy for patients who present with a non-ST elevation myocardial infarction who have had previous bypass grafting. Matt and colleagues used a survey of experts to gain consensus, then provided the experts with the results of a CTCA scan to assess whether the CTCA scan improved decision-making in this hard-to-manage group. If you enjoy the show, please leave us a positive review wherever you get your podcasts. It helps us to reach more people - thanks! Link to published paper:https://heart.bmj.com/content/early/2026/01/26/heartjnl-2025-326961

People in this episode

Host: Professor James Rudd

Guest: Dr Matthew Kelham

Topics covered

  • cardiac CT
  • acute coronary syndrome
  • bypass grafts
  • decision-making
  • myocardial infarction

Keywords

  • cardiac CT
  • acute coronary syndrome
  • bypass grafts
  • decision-making
  • myocardial infarction
  • CTCA scan
  • expert consensus

Mentioned in this episode

Organizations: Bart's Hospital, BMJ Group

Books & works: heartjnl-2025-326961

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