Update on cardiac imaging: A critical analysis.

Autor:	Shah H; St George's, University of London Medical School, United Kingdom., Alim S; St George's, University of London Medical School, United Kingdom., Akther S; University of Leeds Medical School, United Kingdom., Irfan M; St George's, University of London Medical School, United Kingdom., Rahmatova J; Pilgrim Hospital, United Lincolnshire Hospitals NHS Trust, United Kingdom., Arshad A; St George's, University of London Medical School, United Kingdom., Kok CHP; Imperial College School of Medicine, United Kingdom., Zahra SA; Imperial College School of Medicine, United Kingdom; The Hillingdon Hospital NHS Trust, United Kingdom. Electronic address: anum.zahra@nhs.net.
Jazyk:	English; Spanish; Castilian
Zdroj:	Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis [Clin Investig Arterioscler] 2024 Sep-Oct; Vol. 36 (5), pp. 304-313. Date of Electronic Publication: 2024 Apr 08.
DOI:	10.1016/j.arteri.2024.03.001
Abstrakt:	Imaging is instrumental in diagnosing and directing the management of atherosclerosis. In 1958 the first diagnostic coronary angiography (CA) was performed, and since then further development has led to new methods such as coronary CT angiography (CTA), optical coherence tomography (OCT), positron tomography (PET), and intravascular ultrasound (IVUS). Currently, CA remains powerful for visualizing coronary arteries; however, recent studies show the benefits of using other non-invasive techniques. This review identifies optimum imaging techniques for diagnosing and monitoring plaque stability. This becomes even direr now, given the rapidly rising incidence of atherosclerosis in society today. Many acute coronary events, including acute myocardial infarctions and sudden deaths, are attributable to plaque rupture. Although fatal, these events can be preventable. We discuss the factors affecting plaque integrity, such as increased inflammation, medications like statins, and increased lipid content. Some of these precipitating factors are identifiable through imaging. However, we also highlight significant complications arising in some modalities; in CA this can include ventricular arrhythmia and even death. Extending this, we elucidated from the literature that risk can also vary based on the location of arteries and their plaques. Promisingly, there are less invasive methods being trialled for assessing plaque stability, such as Cardiac Magnetic Resonance Imaging (CMR), which is already in use for other cardiac diseases like cardiomyopathies. Therefore, future research focusing on using imaging modalities in conjunction may be sensible, to bridge between the effectiveness of modalities, at the expense of increased complications, and vice versa. (Copyright © 2024 Sociedad Española de Arteriosclerosis. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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