Department of Radiology, Emory University, Atlanta, GA, USA.
Int J Cardiovasc Imaging. 2011 Jan;27(1):7-24. doi: 10.1007/s10554-010-9714-0. Epub 2010 Oct 24.
There are a number of imaging tests that are used in the setting of acute myocardial infarction and acute coronary syndrome. Each has their strengths and limitations. Experts from the European Society of Cardiac Radiology and the North American Society for Cardiovascular Imaging together with other prominent imagers reviewed the literature. It is clear that there is a definite role for imaging in these patients. While comparative accuracy, convenience and cost have largely guided test decisions in the past, the introduction of newer tests is being held to a higher standard which compares patient outcomes. Multicenter randomized comparative effectiveness trials with outcome measures are required.
有许多影像学检查可用于急性心肌梗死和急性冠状动脉综合征的诊断。每一种检查都有其优势和局限性。欧洲心血管放射学会和北美心血管成像学会的专家与其他杰出的影像学专家一起查阅了文献。很明显，影像学在这些患者中具有明确的作用。虽然在过去，比较准确性、便利性和成本在很大程度上指导了检查决策，但新型检查的引入需要更高的标准，即比较患者的结局。需要进行多中心随机对照有效性试验，并采用结局指标。
