Reconciling discordant myocardial perfusion imaging and coronary angiography

被引：0

作者：

Rollor, Joyce ^{[1
]}

Feldmeier, Rebecca ^{[2
]}

Jerome, Scott ^{[1
]}

Gupta, Anuj ^{[1
]}

机构：

[1] Univ Maryland, Med Ctr, Div Cardiovasc Med, Baltimore, MD 20742 USA

[2] Univ Maryland, Med Ctr, Dept Internal Med, Baltimore, MD USA

来源：

JOURNAL OF NUCLEAR CARDIOLOGY | 2018年 / 25卷 / 01期

关键词：

Coronary artery disease; myocardial perfusion imaging: SPECT; fractional flow reserve; invasive coronary angiography; coronary flow reserve; FRACTIONAL FLOW RESERVE; ARTERY-DISEASE; CAFFEINE ABSTENTION; FOLLOW-UP; ADENOSINE; TRIAL; UNDERESTIMATION; THEOPHYLLINE; SEVERITY; ISCHEMIA;

D O I：

10.1007/s12350-016-0396-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A common clinical conundrum presents itself in the discordance between nuclear stress testing and invasive coronary angiography (ICA) in the patient presenting with angina. A patient with an abnormal perfusion scan and "normal coronary angiography" may result in the patient's symptoms being dismissed as "non-cardiac." Alternatively, a patient with a "normal perfusion study," who nonetheless undergoes ICA and is found to have significant coronary artery disease may confound efforts to risk stratify and potentially treat patients with angina. This paper will review the current evidence to explain these apparent paradoxical scenarios.

引用

页码：86 / 93

页数：8

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