Bax J J, Schuijf J D, van der Wall E E
Leids Universitair Medisch Centrum, afd. Cardiologie, Albinusdreef 2, 2333 ZA Leiden.
Ned Tijdschr Geneeskd. 2007 Apr 7;151(14):799-804.
Non-invasive coronary artery imaging is useful in patients with an intermediate level of risk of coronary artery disease because it avoids the health risks associated with invasive coronary angiography, the current gold standard. The conventional non-invasive imaging techniques of myocardial perfusion scintigraphy, stress echocardiography and MRI rely on ischaemia as a marker for coronary artery disease. The more recently introduced techniques of electron beam tomography and multi-slice CT use atherosclerosis as a marker for coronary artery disease. These techniques allow for earlier detection of coronary artery disease, but provide limited information with regard to treatment decisions.
非侵入性冠状动脉成像对于具有中等冠心病风险水平的患者很有用,因为它避免了与侵入性冠状动脉造影(当前的金标准)相关的健康风险。心肌灌注闪烁扫描、负荷超声心动图和磁共振成像等传统非侵入性成像技术依赖缺血作为冠状动脉疾病的标志物。最近引入的电子束断层扫描和多层CT技术则使用动脉粥样硬化作为冠状动脉疾病的标志物。这些技术能够更早地检测出冠状动脉疾病,但在治疗决策方面提供的信息有限。