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Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
Open Access
Review
Cardiovascular Imaging to Risk-Stratify in Chronic Angina
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1
The David Geffen School of Medicine at UCLA, Cedars-Sinai Medical Center, Los Angeles, CA, and Westside Medical Associates of Los Angeles, CA
2020
Keck School of Medicine and the Viterbi School of Engineering, University of Southern California, Los Angeles, CA, Loma Linda University School of Medicine, Loma Linda, CA, and Westside Medical Associates of Los Angeles, CA
Rev. Cardiovasc. Med. 2009, 10(S1), 30–37;
https://doi.org/10.3909/ricm10S10005
Published: 20 January 2009
Abstract
The location, extent, and severity of obstructive coronary artery disease impact
cardiovascular risk and mortality in independent and profound ways. Cardiovascular
imaging modalities allow physicians to better define the anatomy and physiology of
coronary obstructive disease. Conventional coronary angiography remains the most
commonly used modality to define coronary anatomy. Computed tomography coronary
angiography represents an important innovation, particularly by allowing coronary
anatomy to be assessed in a noninvasive fashion. Stress myocardial perfusion imaging
with single-photon emission computed tomography is a valuable prognostic tool. Stress
testing, echocardiography, and stress myocardial radionuclide perfusion can all play
important roles in risk stratification. Stress echocardiography is particularly useful in
the clinic, due to the relatively low cost of equipment acquisition and the ability to
image without exposure to radiation. The emerging modality of cardiac positron
emission tomography offers the prospect of improved resolution, accurate quantification
of blood flow, and shorter examination times.
Keywords
Cardiovascular risk
Coronary angiography
Stress myocardial perfusion imaging
Echocardiography
Stress myocardial nuclear perfusion
Cardiac positron emission tomography