Myocardial Perfusion and Viability Imaging in Coronary Artery Disease: Clinical Value in Diagnosis, Prognosis, and Therapeutic Guidance

被引:31
作者
Li, Dan L. [1 ]
Kronenberg, Marvin W. [1 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Med, Div Cardiovasc Med, Nashville, TN USA
关键词
Coronary artery disease; Coronary computed tomography angiography; Myocardial ischemia; Myocardial viability; Positron emission tomography; Single photon emission computed tomography; Myocardial perfusion imaging; EMISSION COMPUTED-TOMOGRAPHY; LEFT-VENTRICULAR DYSFUNCTION; CARDIAC MAGNETIC-RESONANCE; FRACTIONAL FLOW RESERVE; BYPASS SURGERY; GATED SPECT; ISCHEMIC CARDIOMYOPATHY; NONINVASIVE TESTS; MR-IMPACT; REVASCULARIZATION;
D O I
10.1016/j.amjmed.2021.03.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery disease is a leading cause of morbidity and mortality worldwide. Noninvasive imaging tests play a significant role in diagnosing coronary artery disease, as well as risk stratification and guidance for revascularization. Myocardial perfusion imaging, including single photon emission computed tomography and positron emission tomography, has been widely employed. In this review, we will review test accuracy and clinical significance of these methods for diagnosing and managing coronary artery disease. We will further discuss the comparative usefulness of other noninvasive tests-stress echocardiography, coronary computed tomography angiography, and cardiac magnetic resonance imaging-in the evaluation of ischemia and myocardial viability. (c) 2021 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) center dot The American Journal of Medicine (2021) 134:968-975
引用
收藏
页码:968 / 975
页数:8
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