Efficacy of noninvasive cardiac imaging tests in diagnosis and management of stable coronary artery disease

Ify R. Mordi; Athar A. Badar; R. John Irving; Jonathan R. Weir-McCall; J. Graeme Houston; Chim C. Lang

doi:10.2147/VHRM.S106838

Efficacy of noninvasive cardiac imaging tests in diagnosis and management of stable coronary artery disease

Ify R. Mordi (Lead / Corresponding author), Athar A. Badar, R. John Irving, Jonathan R. Weir-McCall, J. Graeme Houston, Chim C. Lang

Research output: Contribution to journal › Review article › peer-review

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Abstract

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.

Original language	English
Pages (from-to)	427-437
Number of pages	11
Journal	Vascular Health and Risk Management
Volume	13
DOIs	https://doi.org/10.2147/VHRM.S106838
Publication status	Published - 21 Nov 2017

Keywords

Angina
Non-invasive imaging
SPECT
stress echo
cardiovascular magnetic resonance
CT coronary angiography

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10.2147/VHRM.S106838Licence: CC BY-NC

Final Published VersionFinal published version, 318 KBLicence: CC BY-NC

Identifying Novel Opportunities for Translational Research, Precision Medicine and Drug Repurposing in Cardiovascular Disease using Pharmacoepidemiology, Genetic Epidemiology and Bioinformatics
Mordi, I. (Investigator)
Chief Scientist Office
1/08/17 → 1/08/20
Project: Research

Cite this

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title = "Efficacy of noninvasive cardiac imaging tests in diagnosis and management of stable coronary artery disease",

abstract = "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.",

keywords = "Angina, Non-invasive imaging, SPECT, stress echo, cardiovascular magnetic resonance, CT coronary angiography",

author = "Mordi, {Ify R.} and Badar, {Athar A.} and Irving, {R. John} and Weir-McCall, {Jonathan R.} and Houston, {J. Graeme} and Lang, {Chim C.}",

note = "IRM is supported by an NHS Education for Scotland/Chief Scientist Office Post-Doctoral Clinical Lectureship (PCL/17/07). The authors report no other conflicts of interest in this work.",

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doi = "10.2147/VHRM.S106838",

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AU - Mordi, Ify R.

AU - Badar, Athar A.

AU - Irving, R. John

AU - Weir-McCall, Jonathan R.

AU - Houston, J. Graeme

AU - Lang, Chim C.

N1 - IRM is supported by an NHS Education for Scotland/Chief Scientist Office Post-Doctoral Clinical Lectureship (PCL/17/07). The authors report no other conflicts of interest in this work.

PY - 2017/11/21

Y1 - 2017/11/21

N2 - 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.

AB - 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.

KW - Angina

KW - Non-invasive imaging

KW - SPECT

KW - stress echo

KW - cardiovascular magnetic resonance

KW - CT coronary angiography

U2 - 10.2147/VHRM.S106838

DO - 10.2147/VHRM.S106838

M3 - Review article

C2 - 29200864

SN - 1176-6344

VL - 13

SP - 427

EP - 437

JO - Vascular Health and Risk Management

JF - Vascular Health and Risk Management

ER -

Efficacy of noninvasive cardiac imaging tests in diagnosis and management of stable coronary artery disease

Abstract

Keywords

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Projects

Identifying Novel Opportunities for Translational Research, Precision Medicine and Drug Repurposing in Cardiovascular Disease using Pharmacoepidemiology, Genetic Epidemiology and Bioinformatics

Cite this