Green C E, Kelley M J
Radiol Clin North Am. 1980 Dec;18(3):345-57.
The advent of surgical therapy for ischemic heart disease and the prospects for modification of risk factors for coronary artery disease have made the detection of coronary artery disease in asymptomatic patients more important. Cardiac fluoroscopy is an inexpensive and relatively efficacious screening method for coronary artery disease. The combination of fluoroscopy and exercise stress testing is particularly promising. Cardiac fluoroscopy also retains a place in the diagnosis of valvular heart disease. For all of the reasons listed above, we strongly recommend that cardiac fluoroscopy be performed as part of the initial evaluation of any patient suspected of having heart disease. Furthermore, when coronary calcification is discovered incidentally by the radiologist, the patient and his physician should be alerted to its presence as it represents a significant risk factor for the subsequent development of symptomatic coronary artery disease.
缺血性心脏病外科治疗的出现以及冠状动脉疾病危险因素修正的前景，使得在无症状患者中检测冠状动脉疾病变得更加重要。心脏荧光检查是一种用于冠状动脉疾病的廉价且相对有效的筛查方法。荧光检查与运动负荷试验相结合尤其具有前景。心脏荧光检查在瓣膜性心脏病的诊断中也占有一席之地。基于上述所有原因，我们强烈建议将心脏荧光检查作为对任何疑似患有心脏病患者进行初始评估的一部分。此外，当放射科医生偶然发现冠状动脉钙化时，应提醒患者及其医生其存在，因为它是随后发生症状性冠状动脉疾病的一个重要危险因素。
