Document Detail

The role of stress echocardiography and competing technologies for the diagnostic and prognostic assessment of coronary artery disease.
MedLine Citation:
PMID:  19763064     Owner:  NLM     Status:  MEDLINE    
Coronary artery disease remains the leading cause of death in adults in the United States. Non-invasive cardiac imaging is now central to the diagnosis and management of patients with known or suspected coronary disease. The generally accepted indications for stress testing include confirming a diagnosis of coronary disease, assessing prognosis, preoperative risk stratification, and evaluation of medical therapy. Stress echocardiography and single photon computed tomography are well-established non-invasive techniques for all the previously mentioned indications. These modalities provide a relatively high sensitivity and specificity along with an incremental value over clinical risk factors. Cardiac magnetic resonance imaging (CMRI) and multislice computed tomography are new imaging tools in the evaluation of patients with coronary disease. CMRI offers a comprehensive cardiac evaluation which includes wall motion analysis, myocardial tissue morphology, rest and stress first pass myocardial perfusion as well as systolic ventricular function. It is also considered a first line technique for the diagnosis of certain structural heart disease and chamber volume quantification. Cardiac computed tomography allows non-invasive anatomic imaging of the coronary tree. It has a high clinical utility especially in select intermediate risk patient population. Available tests all have advantages and drawbacks and none can be considered suitable for all patients. The choice of the imaging method should be tailored to each person based on the clinical judgment of the a priori risk of cardiac event, clinical history, and risk factors profile.
R Mastouri; J Mahenthiran; S G Sawada
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Minerva cardioangiologica     Volume:  57     ISSN:  0026-4725     ISO Abbreviation:  Minerva Cardioangiol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-09-18     Completed Date:  2010-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400725     Medline TA:  Minerva Cardioangiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  367-87     Citation Subset:  IM    
Department of Medicine, Indiana University Medical Center and the Krannert Institute of Cardiology, Indianapolis, IN, USA.
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MeSH Terms
Acute Coronary Syndrome / diagnosis
Cohort Studies
Coronary Disease / diagnosis*,  radiography,  radionuclide imaging,  ultrasonography
Echocardiography, Stress* / methods
Magnetic Resonance Angiography
Magnetic Resonance Imaging / methods
Middle Aged
Risk Assessment
Risk Factors
Sensitivity and Specificity
Tomography, Emission-Computed, Single-Photon / methods
Tomography, X-Ray Computed / methods

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