Cardiology 2013

Notes: Frederick, Melissa A

Singh, Tejwant

Salami, Sule

Oetgen, William J

Rosman, Howard S

eng

2014/01/24 06:00

J Grad Med Educ. 2013 Dec;5(4):694-9. doi: 10.4300/JGME-D-13-00057.1.

URL: http://www.ncbi.nlm.nih.gov/pubmed/24455027

 

 

Reference Type:  Journal Article

Record Number: 759Author: Gaemperli, O.

Year: 2013

Title: [Role of noninvasive imaging in cardiology]

Journal: Praxis (Bern 1994)

Volume: 102

Issue: 1

Pages: 29-37

Date: Jan 2

Short Title: [Role of noninvasive imaging in cardiology]

Alternate Journal: Praxis

ISSN: 1661-8157 (Print)

1661-8157 (Linking)

DOI: 10.1024/1661-8157/a001162

Original Publication: Stellenwert der nicht-invasiven Bildgebung in der Kardiologie.

Accession Number: 23384928

Keywords: Algorithms

Contrast Media/administration & dosage

Coronary Angiography/methods

Coronary Artery Disease/diagnosis

Coronary Disease/*diagnosis

Coronary Stenosis/diagnosis

Diagnostic Imaging/*methods

Humans

Image Enhancement/methods

Imaging, Three-Dimensional/methods

Magnetic Resonance Angiography

Multimodal Imaging/methods

Myocardial Perfusion Imaging/methods

Positron-Emission Tomography

Radiation Dosage

Sensitivity and Specificity

Tomography, Emission-Computed, Single-Photon/methods

Tomography, X-Ray Computed/methods

Abstract: The technological advances of recent decades have produced a large armamentarium of cardiac noninvasive imaging tools for the diagnosis of coronary artery disease (CAD), including stress echocardiography, myocardial perfusion radionuclide imaging, cardiac computed tomography (cardiac CT) and cardiac magnetic resonance imaging. The high diagnostic accuracy of these techniques has been documented by single center and occasionally larger multicentric studies. Hence, the choice of the appropriate technique in a given patient is based upon the particular clinical scenario, the patient’s clinical characteristics, local availability and expertise, and upon other factors such as costs, radiation and potential contrast agent toxicity. Cardiac CT is by nature an anatomical technique (much like invasive angiography) with a high negative predictive value, therefore it has established itself as a useful tool to rule out CAD in patients with low to intermediate pretest likelihood of CAD. The remaining techniques, on the other hand, are functional tests for the detection of myocardial ischemia and are suitable to improve risk stratification in patients with known CAD or at higher cardiovascular risk. By this means, non-invasive cardiac imaging is an accurate and established tool in the diagnostic algorithm for CAD, and a cost-effective gatekeeper of invasive angiography.

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