The aim of this review is to discuss the current literature regarding the utility of non-invasive imaging in diagnosis and management of stable coronary artery disease (CAD) including recent data from large randomised trials assessing diagnosis and prognosis. Current guidelines recommend revascularisation in patients with refractory angina and in those with potential prognostic benefit. Appropriate risk stratification through non-invasive assessment is important in ensuring patients are not exposed to unnecessary invasive coronary angiograms. The past 20 years has seen an unprecedented expansion in non-invasive imaging modalities for assessment of stable CAD, with cardiovascular magnetic resonance and computed tomography complementing established techniques such as myocardial perfusion imaging, echocardiography and exercise ECG. In this review we will examine the current state-of-the-art in non-invasive imaging in order to provide an up to date analysis of current investigation and management options.
- Non-invasive imaging
- stress echo
- cardiovascular magnetic resonance
- CT coronary angiography