Davies Mark J, Newton James D
Cardiology Registrar, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, and Department of Cardiology, Wycombe Hospital, Buckinghamshire NHS Trust, High Wycombe, Buckinghamshire HP11 2TT.
Consultant Cardiologist, Oxford Heart Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford.
Br J Hosp Med (Lond). 2017 Jul 2;78(7):392-398. doi: 10.12968/hmed.2017.78.7.392.
In contrast to invasive techniques, the goal of non-invasive cardiac imaging is to identify or exclude heart disease in response to a patient's clinical history of cardiac localizing symptoms. Imaging also aims to establish the risk of an individual developing future heart disease with a view to preventing major cardiovascular events such as myocardial infarction. As well as a role in risk stratification, non-invasive cardiac imaging also helps with decision making for future medical and procedural interventions. This review outlines the non-invasive imaging modalities available to physicians to identify and risk stratify cardiovascular disease. It discusses the strengths of each imaging technique, in which circumstances it is most useful and its diagnostic accuracy.
与侵入性技术不同,非侵入性心脏成像的目标是根据患者心脏定位症状的临床病史来识别或排除心脏病。成像还旨在确定个体未来发生心脏病的风险,以预防心肌梗死等重大心血管事件。除了在风险分层中的作用外,非侵入性心脏成像还有助于为未来的医疗和程序干预做出决策。本综述概述了医生可用于识别心血管疾病并进行风险分层的非侵入性成像方式。它讨论了每种成像技术的优势、在何种情况下最有用及其诊断准确性。