Published in:
01-08-2017 | Editorial
Detection of ischemia with early myocardial perfusion imaging: You see more if you watch before
Authors:
Riccardo Liga, MD, Alessia Gimelli, MD
Published in:
Journal of Nuclear Cardiology
|
Issue 4/2017
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Excerpt
Current medical guidelines for the management of subjects with stable angina make the evaluation of the presence and extent of inducible myocardial ischemia as a mandatory step in the clinical workflow.
1 Moreover, the precise quantification of the myocardial ischemic burden is widely believed as a necessary action also in the management of patients with ascertained coronary artery disease (CAD).
2 As a matter of fact, in the last decades solid evidence has demonstrated that patients with limited myocardial ischemia can be safely treated conservatively (i.e., with medical therapy alone),
3 while symptomatic subjects with relevant inducible ischemia should be managed more aggressively and submitted, if indicated, to coronary revascularization.
4,
5 …