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The International Journal of Cardiovascular Imaging

Published in:

01-08-2018 | Review Paper

Imaging the myocardial ischemic cascade

Authors: Arthur E. Stillman, Matthijs Oudkerk, David A. Bluemke, Menko Jan de Boer, Jens Bremerich, Ernest V. Garcia, Matthias Gutberlet, Pim van der Harst, W. Gregory Hundley, Michael Jerosch-Herold, Dirkjan Kuijpers, Raymond Y. Kwong, Eike Nagel, Stamatios Lerakis, John Oshinski, Jean-François Paul, Riemer H. J. A. Slart, Vinod Thourani, Rozemarijn Vliegenthart, Bernd J. Wintersperger

Published in: The International Journal of Cardiovascular Imaging | Issue 8/2018

Abstract

Non-invasive imaging plays a growing role in the diagnosis and management of ischemic heart disease from its earliest manifestations of endothelial dysfunction to myocardial infarction along the myocardial ischemic cascade. Experts representing the North American Society for Cardiovascular Imaging and the European Society of Cardiac Radiology have worked together to organize the role of non-invasive imaging along the framework of the ischemic cascade. The current status of non-invasive imaging for ischemic heart disease is reviewed along with the role of imaging for guiding surgical planning. The issue of cost effectiveness is also considered. Preclinical disease is primarily assessed through the coronary artery calcium score and used for risk assessment. Once the patient becomes symptomatic, other imaging tests including echocardiography, CCTA, SPECT, PET and CMR may be useful. CCTA appears to be a cost-effective gatekeeper. Post infarction CMR and PET are the preferred modalities. Imaging is increasingly used for surgical planning of patients who may require coronary artery bypass.

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Title: Imaging the myocardial ischemic cascade
Authors: Arthur E. Stillman
Matthijs Oudkerk
David A. Bluemke
Menko Jan de Boer
Jens Bremerich
Ernest V. Garcia
Matthias Gutberlet
Pim van der Harst
W. Gregory Hundley
Michael Jerosch-Herold
Dirkjan Kuijpers
Raymond Y. Kwong
Eike Nagel
Stamatios Lerakis
John Oshinski
Jean-François Paul
Riemer H. J. A. Slart
Vinod Thourani
Rozemarijn Vliegenthart
Bernd J. Wintersperger
Publication date: 01-08-2018
Publisher: Springer Netherlands
Published in: The International Journal of Cardiovascular Imaging / Issue 8/2018
Print ISSN: 1569-5794
Electronic ISSN: 1875-8312
DOI: https://doi.org/10.1007/s10554-018-1330-4

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Springer Medicine

Imaging the myocardial ischemic cascade

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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