Computed Tomography and Cardiac Magnetic Resonance in Ischemic Heart Disease.

Abstract:

:Ischemic heart disease is a complex disease process caused by the development of coronary atherosclerosis, with downstream effects on the left ventricular myocardium. It is characterized by a long preclinical phase, abrupt development of myocardial infarction, and more chronic disease states such as stable angina and ischemic cardiomyopathy. Recent advances in computed tomography (CT) and cardiac magnetic resonance (CMR) now allow detailed imaging of each of these different phases of the disease, potentially allowing ischemic heart disease to be tracked during a patient's lifetime. In particular, CT has emerged as the noninvasive modality of choice for imaging the coronary arteries, whereas CMR offers detailed assessments of myocardial perfusion, viability, and function. The clinical utility of these techniques is increasingly being supported by robust randomized controlled trial data, although the widespread adoption of cardiac CT and CMR will require further evidence of clinical efficacy and cost effectiveness.

journal_name

J Am Coll Cardiol

authors

Dweck MR,Williams MC,Moss AJ,Newby DE,Fayad ZA

doi

10.1016/j.jacc.2016.08.047

subject

Has Abstract

pub_date

2016-11-15 00:00:00

pages

2201-2216

issue

20

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(16)35239-1

journal_volume

68

pub_type

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