Mordi Ify R, Badar Athar A, Irving R John, Weir-McCall Jonathan R, Houston J Graeme, Lang Chim C
Division of Molecular and Clinical Medicine, University of Dundee, Dundee, UK.
Department of Cardiology, Ninewells Hospital and Medical School, Dundee, UK.
Vasc Health Risk Manag. 2017 Nov 21;13:427-437. doi: 10.2147/VHRM.S106838. eCollection 2017.
The aim of this review was to discuss the current literature regarding the utility of noninvasive imaging in diagnosis and management of stable coronary artery disease (CAD) including recent data from large randomized trials assessing diagnosis and prognosis. Current guidelines recommend revascularization in patients with refractory angina and in those with potential prognostic benefit. Appropriate risk stratification through noninvasive assessment is important in ensuring patients are not exposed to unnecessary invasive coronary angiograms. The past 20 years have seen an unprecedented expansion in noninvasive imaging modalities for the assessment of stable CAD, with cardiovascular magnetic resonance and computed tomography complementing established techniques such as myocardial perfusion imaging, echocardiography and exercise electrocardiogram. In this review, we examine the current state-of-the-art in noninvasive imaging to provide an up-to-date analysis of current investigation and management options.
本综述的目的是讨论目前关于无创成像在稳定型冠状动脉疾病（CAD）诊断和管理中的应用的文献，包括来自评估诊断和预后的大型随机试验的最新数据。当前指南建议对难治性心绞痛患者以及具有潜在预后益处的患者进行血运重建。通过无创评估进行适当的风险分层对于确保患者不接受不必要的有创冠状动脉造影很重要。在过去20年中，用于评估稳定型CAD的无创成像模式得到了前所未有的扩展，心血管磁共振和计算机断层扫描补充了心肌灌注成像、超声心动图和运动心电图等既定技术。在本综述中，我们研究了无创成像的当前技术水平，以提供对当前检查和管理选项的最新分析。
