Perspectives in noninvasive imaging for chronic coronary syndromes
| Autor: | Doralisa Morrone, Francesco Gentile, Alberto Aimo, Matteo Cameli, Andrea Barison, Maria Elena Picoi, Marco Guglielmo, Angelo Villano, Antonio DeVita, Giulia Elena Mandoli, Maria Concetta Pastore, Francesco Barillà, Massimo Mancone, Roberto Pedrinelli, Ciro Indolfi, Pasquale Perrone Filardi, Saverio Muscoli, Isabella Tritto, Luca Bergamaschi, Carmine Pizzi, Paolo G. Camici, Mario Marzilli, Filippo Crea, Raffaele De Caterina, Gianluca Pontone, Danilo Neglia, Gaetano A. Lanza |
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| Přispěvatelé: | Morrone, D., Gentile, F., Aimo, A., Cameli, M., Barison, A., Picoi, M. E., Guglielmo, M., Villano, A., Devita, A., Mandoli, G. E., Pastore, M. C., Barilla, F., Mancone, M., Pedrinelli, R., Indolfi, C., Filardi, P. P., Muscoli, S., Tritto, I., Bergamaschi, L., Pizzi, C., Camici, P. G., Marzilli, M., Crea, F., Caterina, R. D., Pontone, G., Neglia, D., Lanza, G. A. |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Myocardial ischemia
Cardiac magnetic resonance Computed Tomography Angiography CCTA Echocardiography Imaging Nuclear imaging Coronary Stenosis Settore MED/11 - Malattie dell'Apparato Cardiovascolare Syndrome Coronary Artery Disease Coronary Angiography Fractional Flow Reserve Settore MED/11 Fractional Flow Reserve Myocardial Predictive Value of Tests Humans Myocardial Cardiology and Cardiovascular Medicine |
| Popis: | Both the latest European guidelines on chronic coronary syndromes and the American guidelines on chest pain have underlined the importance of noninvasive imaging to select patients to be referred to invasive angiography. Nevertheless, although coronary stenosis has long been considered the main determinant of inducible ischemia and symptoms, growing evidence has demonstrated the importance of other underlying mechanisms (e.g., vasospasm, microvascular disease, energetic inefficiency). The search for a pathophysiology-driven treatment of these patients has therefore emerged as an important objective of multimodality imaging, integrating "anatomical" and "functional" information. We here provide an up-to-date guide for the choice and the interpretation of the currently available noninvasive anatomical and/or functional tests, focusing on emerging techniques (e.g., coronary flow velocity reserve, stress-cardiac magnetic resonance, hybrid imaging, functional-coronary computed tomography angiography, etc.), which could provide deeper pathophysiological insights to refine diagnostic and therapeutic pathways in the next future. |
| Databáze: | OpenAIRE |
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