Document Detail


Nuclear cardiology and electron-beam computed tomography: competitive or complementary?
MedLine Citation:
PMID:  11473748     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Electron-beam computed tomography (EBCT) and nuclear cardiology techniques are both valuable in the noninvasive assessment of patients with suspected coronary artery disease. The techniques, however, are different in the information they provide about the patient. EBCT provides anatomic information on coronary atherosclerosis, whereas myocardial perfusion single-photon emission computed tomography assesses the physiologic significance of coronary stenosis. Because of these differences, the techniques are highly complementary. In considering the complementary nature of these methods, it is important to clarify the issues being raised. An important question in the consideration of a patient with known or suspected coronary artery disease is, What is the risk in an individual patient of developing clinical coronary artery disease? The answer to this question will determine who needs aggressive medical management. A second question in a suspected coronary artery disease patient is, What is the risk of cardiac death? As will be discussed, this risk, in general, determines the need to consider coronary revascularization. In the former question, EBCT testing and clinical assessment alone is usually sufficient, and in some cases nuclear testing can be of additional value. In answering the second question, on the basis of currently available data, the EBCT and nuclear cardiology studies appear to be operating in a complementary fashion.
Authors:
D S Berman; E F Schisterman; R Miranda; J D Friedman; S W Hayes; H C Lewin; G Germano
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  88     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-07-27     Completed Date:  2001-08-16     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  51E-55E     Citation Subset:  AIM; IM    
Affiliation:
Department of Imaging, Cedars-Sinai Medical Center Burns and Allen Research Institute, Los Angeles, California 90048, USA. bermand@cshs.org
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MeSH Terms
Descriptor/Qualifier:
Cholesterol / blood
Coronary Artery Disease* / etiology,  radiography,  radionuclide imaging
Humans
Male
Risk Factors
Tomography, Emission-Computed, Single-Photon*
Tomography, X-Ray Computed*
Chemical
Reg. No./Substance:
57-88-5/Cholesterol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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