What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease

The mortality from ischemic heart disease has decreased in recent years. The better understanding of risk factors associated with development of coronary artery disease has significantly contributed to this decline. Improvements in medical and interventional therapy have reduced the complications as...

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description The mortality from ischemic heart disease has decreased in recent years. The better understanding of risk factors associated with development of coronary artery disease has significantly contributed to this decline. Improvements in medical and interventional therapy have reduced the complications associated with acute myocardial infarction as well as revascularization. After the introduction of imaging modalities, the noninvasive characterization of regional function, perfusion and metabolism allowed for more sophisticated tissue characterization to identify reversible dysfunction with high diagnostic and prognostic accuracy. We now can legitimately claim that computed tomography angiography (CTA) of the coronary arteries is available. In the evaluation of patients with suspected coronary artery disease, many guidelines today consider CTA an alternative to stress testing. However the nuclear technique most frequently used by cardiologists is myocardial perfusion imaging (MPI). The combination of a nuclear camera with CTA allows for the attainment of coronary anatomic, cardiac function and MPI from one piece of equipment. Assessing cardiac viability is now fairly routine with these enhancements to cardiac imaging. Traditional coronary angiography presents a variety of limitations related to image acquisition, content, interpretation, and patient safety. Barriers to such improvements include the paucity of clinical outcomes studies related to new imaging technology, the need for physician and staff member training, and the costs associated with acquiring and effectively using these advances in coronary angiography. This issue is full of important information that every cardiologist needs to now.
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spelling doab-20.500.12854ir-664692024-03-31T22:43:58Z What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease Baskot, Branislav G. Cardiovascular medicine thema EDItEUR::M Medicine and Nursing::MJ Clinical and internal medicine::MJD Cardiovascular medicine The mortality from ischemic heart disease has decreased in recent years. The better understanding of risk factors associated with development of coronary artery disease has significantly contributed to this decline. Improvements in medical and interventional therapy have reduced the complications associated with acute myocardial infarction as well as revascularization. After the introduction of imaging modalities, the noninvasive characterization of regional function, perfusion and metabolism allowed for more sophisticated tissue characterization to identify reversible dysfunction with high diagnostic and prognostic accuracy. We now can legitimately claim that computed tomography angiography (CTA) of the coronary arteries is available. In the evaluation of patients with suspected coronary artery disease, many guidelines today consider CTA an alternative to stress testing. However the nuclear technique most frequently used by cardiologists is myocardial perfusion imaging (MPI). The combination of a nuclear camera with CTA allows for the attainment of coronary anatomic, cardiac function and MPI from one piece of equipment. Assessing cardiac viability is now fairly routine with these enhancements to cardiac imaging. Traditional coronary angiography presents a variety of limitations related to image acquisition, content, interpretation, and patient safety. Barriers to such improvements include the paucity of clinical outcomes studies related to new imaging technology, the need for physician and staff member training, and the costs associated with acquiring and effectively using these advances in coronary angiography. This issue is full of important information that every cardiologist needs to now. 2021-04-20T15:44:20Z 2021-04-20T15:44:20Z 2013 book ONIX_20210420_9789535110439_1828 9789535110439 9789535171164 https://directory.doabooks.org/handle/20.500.12854/66469 eng image/jpeg n/a https://www.intechopen.com/books https://mts.intechopen.com/storage/books/3275/authors_book/authors_book.pdf IntechOpen IntechOpen 10.5772/45953 10.5772/45953 78a36484-2c0c-47cb-ad67-2b9f5cd4a8f6 9789535110439 9789535171164 IntechOpen 484 open access
spellingShingle Cardiovascular medicine
thema EDItEUR::M Medicine and Nursing::MJ Clinical and internal medicine::MJD Cardiovascular medicine
What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease
title What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease
title_full What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease
title_fullStr What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease
title_full_unstemmed What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease
title_short What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease
title_sort what should we know about prevented diagnostic and interventional therapy in coronary artery disease
topic Cardiovascular medicine
thema EDItEUR::M Medicine and Nursing::MJ Clinical and internal medicine::MJD Cardiovascular medicine
topic_facet Cardiovascular medicine
thema EDItEUR::M Medicine and Nursing::MJ Clinical and internal medicine::MJD Cardiovascular medicine
url ONIX_20210420_9789535110439_1828