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Titolo:
COMPARISON OF MODALITIES TO DIAGNOSE CORONARY-ARTERY DISEASE
Autore:
PATTERSON RE; HOROWITZ SF; EISNER RL;
Indirizzi:
EMORY CRAWFORD LONG HOSP,CARLYLE FRASER HEART CTR,DEPT MED,DIV CARDIOL,550 PEACHTREE ST NE ATLANTA GA 30365 YESHIVA UNIV ALBERT EINSTEIN COLL MED,BETH ISRAEL MED CTR,DEPT MED,THOMAS KILLIP DIV CARDIOL BRONX NY 10461 EMORY UNIV,SCH MED,DEPT RADIOL ATLANTA GA 30322
Titolo Testata:
Seminars in nuclear medicine
fascicolo: 4, volume: 24, anno: 1994,
pagine: 286 - 310
SICI:
0001-2998(1994)24:4<286:COMTDC>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
EMISSION COMPUTED-TOMOGRAPHY; HEXAKIS 2-METHOXYISOBUTYL ISONITRILE; DOBUTAMINE STRESS ECHOCARDIOGRAPHY; TWO-DIMENSIONAL ECHOCARDIOGRAPHY; TL-201 MYOCARDIAL SCINTIGRAMS; ISCHEMIC-HEART-DISEASE; EXERCISE ECHOCARDIOGRAPHY; COST-EFFECTIVENESS; N-13 AMMONIA; NONUNIFORM ATTENUATION;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
124
Recensione:
Indirizzi per estratti:
Citazione:
R.E. Patterson et al., "COMPARISON OF MODALITIES TO DIAGNOSE CORONARY-ARTERY DISEASE", Seminars in nuclear medicine, 24(4), 1994, pp. 286-310

Abstract

The purpose of this review is to compare several modalities availablefor detection of coronary artery disease (CAD). We compare the clinical history, rest/exercise electrocardiogram (ECG), rest/stress left ventricular (LV) function by radionuclide or echocardiographic methods, myocardial perfusion imaging (MPI) by single photon emission computed tomography (SPECT) or positron emission tomography (PET), contrast coronary angiography, magnetic resonance imaging (MRI), spectroscopy (MRS) and angiography (MRA), and ultrafast cine computed tomography (UFCT)to assess LV function, myocardial perfusion, and coronary calcification. We compare the modalities by answering six questions: (1) Does themodality provide unique clinical information? (2) What is the observer error? (3) What are sensitivities and specificities to detect CAD? (4) What patient selection criteria should be applied for each modality? (5) What incremental benefit is obtained from one modality versus another modality? and (6) Where do the modalities fit in the overall scheme of diagnostic testing for CAD? PET MPI appears to be the best noninvasive test for CAD, followed by SPECT thallium-201 and then dobutamine echocardiography. MRA and UFCT may soon play a larger role because they visualize the arteries. Contrast coronary angiography remains thegold standard despite its limitations. Exercise ECG is the least accurate test. The choice of tests critically depends on patient selection-based on clinical history, age, gender, and risk factors to estimate the pretest, clinical probability of CAD.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/11/19 alle ore 03:52:51