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Imaging the Physiology of the Ischemic Cascade Are 2 Tools Better Than 1?

Imaging the Physiology of the Ischemic Cascade Are 2 Tools Better Than 1? Editorial Imaging the Physiology of the Ischemic Cascade Are 2 Tools Better Than 1? Raymond Y. Kwong, MD, MPH tress cine function and vasodilating stress perfusion are coronary artery disease. The authors should be commended for Scommonly used approaches for the evaluation of ischemic their effort in conducting this study, with 91% of the 455 heart disease. Both imaging approaches, using either stress patients achieving diagnostic-quality study and reaching target echocardiography or stress nuclear scintigraphy, have stood the heart rates. When DSMRP was included in the diagnostic test of time as highly accurate in diagnosing coronary artery criteria, it increased the test sensitivity from 85% to 91% (versus stenosis and as prognostic tools in patients with symptoms DSMR alone; P0.001) in detecting angiographic coronary 1,2 suspicious of myocardial ischemia. When epicardial coronary stenosis of 70% luminal narrowing. Of the 150 patients flow is interrupted and leads to an imbalance between myocar- without evidence of ischemia by DSMR, 19 (13%) were dial oxygen supply and demand, reduced myocardial perfusion, correctly detected to have inducible ischemia by DSMRP when regional ventricular dysfunction, and ECG change occur in compared with angiographic luminal stenosis of 70%. These quick succession; hence, the term “ischemic http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Circulation: Cardiovascular Imaging Wolters Kluwer Health

Imaging the Physiology of the Ischemic Cascade Are 2 Tools Better Than 1?

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References (19)

ISSN
1941-9651
eISSN
1942-0080
DOI
10.1161/CIRCIMAGING.108.816322
pmid
19808525
Publisher site
See Article on Publisher Site

Abstract

Editorial Imaging the Physiology of the Ischemic Cascade Are 2 Tools Better Than 1? Raymond Y. Kwong, MD, MPH tress cine function and vasodilating stress perfusion are coronary artery disease. The authors should be commended for Scommonly used approaches for the evaluation of ischemic their effort in conducting this study, with 91% of the 455 heart disease. Both imaging approaches, using either stress patients achieving diagnostic-quality study and reaching target echocardiography or stress nuclear scintigraphy, have stood the heart rates. When DSMRP was included in the diagnostic test of time as highly accurate in diagnosing coronary artery criteria, it increased the test sensitivity from 85% to 91% (versus stenosis and as prognostic tools in patients with symptoms DSMR alone; P0.001) in detecting angiographic coronary 1,2 suspicious of myocardial ischemia. When epicardial coronary stenosis of 70% luminal narrowing. Of the 150 patients flow is interrupted and leads to an imbalance between myocar- without evidence of ischemia by DSMR, 19 (13%) were dial oxygen supply and demand, reduced myocardial perfusion, correctly detected to have inducible ischemia by DSMRP when regional ventricular dysfunction, and ECG change occur in compared with angiographic luminal stenosis of 70%. These quick succession; hence, the term “ischemic

Journal

Circulation: Cardiovascular Imaging – Wolters Kluwer Health

Published: Sep 1, 2008

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