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01-12-2020 | Arterial Diseases | Editorial

Anatomical and functional assessment of coronary artery disease in patients with stable angina: Which is the gold standard?

Author: Federico Caobelli, MD, FEBNM

Published in: Journal of Nuclear Cardiology | Issue 6/2020

Excerpt

Stable coronary artery disease (sCAD) is a clinical condition encompassing diverse evolutionary phases of CAD, excluding acute coronary syndromes1 and its incidence varies in parallel with observed international differences in CAD mortality,2 being generally more prevalent in middle-aged women than in men, probably due to higher incidence of microvascular disease in female patients.3 …

Members Task Force, Montalescot G, Sechtem U, Achenbach S, Andreotti F, Arden C, et al. ESC guidelines on the management of stable coronary artery disease. Eur Heart J 2013;2013:2949-3003.

Hemingway H, McCallum A, Shipley M, Manderbacka K, Martikainen P, Keskimaki I. Incidence and prognostic implications of stable angina pectoris among women and men. JAMA 2006;295:1404-11.CrossRef

Reis SE, Holubkov R, Conrad Smith AJ, Kelsey SF, Sharaf BL, Reichek N, et al. Coronary microvascular dysfunction is highly prevalent in women with chest pain in the absence of coronary artery disease: Results from the NHLBI WISE study. Am Heart J 2001;141:735-41.CrossRef

Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart disease and stroke statistics—2017 update: a report from the american heart association. Circulation 2017;135:e146-603.CrossRef

Akil S, Hedeer F, Carlsson M, Arheden H, Oddstig J, Hindorf C, et al. Qualitative perfusion assessment by cardiac magnetic resonance imaging and invasive coronary angiography is not enough when evaluating patients with coronary artery disease—a cardiac positron emission tomography study. J Nucl Cardiol 2019. In press.

Jaarsma C, Leiner T, Bekkers SC, Crijns HJ, Wildberger JE, Nagel E, et al. Diagnostic performance of noninvasive myocardial perfusion imaging using single-photon emission computed tomography, cardiac magnetic resonance, and positron emission tomography imaging for the detection of obstructive coronary artery disease: A meta-analysis. J Am Coll Cardiol 2012;59:1719-28.CrossRef

Danad I, Uusitalo V, Kero T, Saraste A, Raijmakers PG, Lammertsma AA. Quantitative assessment of myocardial perfusion in the detection of significant coronary artery disease: Cutoff values and diagnostic accuracy of quantitative [(15)O]H2O PET imaging. J Am Coll Cardiol 2014;64:1464-75.CrossRef

Stuijfzand WJ, Uusitalo V, Kero T, Danad I, Rijnierse MT, Saraste A, et al. Relative flow reserve derived from quantitative perfusion imaging may not outperform stress myocardial blood flow for identification of hemodynamically significant coronary artery disease. Circ Cardiovasc Imaging 2015;8:e002400.CrossRef

Monroy-Gonzalez AG, Tio RA, de Groot JC, Boersma HH, Prakken NH, De Jongste MJL, et al. Long-term prognostic value of quantitative myocardial perfusion in patients with chest pain and normal coronary arteries. J Nucl Cardiol 2018. https://doi.org/10.1007/s12350-018-1448-8.

10.

Arbab-Zadeh A, Di Carli MF, Cerci R, George RT, Chen MY, Dewey M, et al. Accuracy of computed tomographic angiography and single-photon emission computed tomography-acquired myocardial perfusion imaging for the diagnosis of coronary artery disease. Circ Cardiovasc Imaging 2015;8:e003533.PubMedPubMedCentral

11.

Kajander S, Joutsiniemi E, Saraste M, Pietila M, Ukkonen H, Saraste A, et al. Cardiac positron emission tomography/computed tomography imaging accurately detects anatomically and functionally significant coronary artery disease. Circulation 2010;122:603-13.CrossRef

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Pazhenkottil AP, Nkoulou RN, Ghadri J-R, Herzog BA, Buechel RR, Kuest SM, et al. Prognostic value of cardiac hybrid imaging integrating single-photon emission computed tomography with coronary computed tomography angiography. Eur Heart J 2011;32:1465-71.CrossRef

13.

Liu T, Maurovich-Horvat P, Mayrhofer T, Puchner SB, Lu MT, Ghemigian K, et al. Quantitative coronary plaque analysis predicts high-risk plaque morphology on coronary computed tomography angiography: Results from the ROMICAT II trial. Int J Cardiovasc Imaging 2018;34:311-9.CrossRef

14.

Otsuka K, Fukuda S, Tanaka A, Nakanishi K, Taguchi H, Yoshiyama M, et al. Prognosis of vulnerable plaque on computed tomographic coronary angiography with normal myocardial perfusion image. Eur Heart J Cardiovasc Imaging 2014;15:332-40.CrossRef

Title: Anatomical and functional assessment of coronary artery disease in patients with stable angina: Which is the gold standard?
Author: Federico Caobelli, MD, FEBNM
Publication date: 01-12-2020
Publisher: Springer International Publishing
Keyword: Arterial Diseases
Published in: Journal of Nuclear Cardiology / Issue 6/2020
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI: https://doi.org/10.1007/s12350-019-01605-2

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Anatomical and functional assessment of coronary artery disease in patients with stable angina: Which is the gold standard?

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