This website is intended for healthcare professionals only

Trending Topic

16 mins

Trending Topic

Developed by Touch
Mark CompleteCompleted
BookmarkBookmarked

Hypertension is the leading modifiable risk factor for global cardiovascular disease, responsible for an estimated 10.8 million deaths and more than 200 million disability-adjusted life years annually.1 Despite the availability of effective pharmacological and lifestyle interventions, prevalence continues to rise, particularly in low- and middle-income countries (LMICs), where over three-quarters of all cases now occur.2 The condition’s […]

Stress testing and non-invasive coronary angiography in patients with suspected coronary artery disease: time for a new paradigm

Armin Arbab-Zadeh
< 1 min
Share
Facebook
X (formerly Twitter)
LinkedIn
Via Email
Mark CompleteCompleted
BookmarkBookmarked
Copy LinkLink Copied
Download as PDF
Published Online: Aug 7th 2018 Heart International 2012;7(1):e2 DOI: https://doi.org/10.4081/hi.2012.e2
Select a Section…
1

Abstract

Overview

Diagnosis and management of coronary
artery disease represents major challenges to
our health care system, affecting millions of
patients each year. Until recently, the diagnosis
of coronary artery disease was possible
only through cardiac catheterization and invasive
coronary angiography. To avoid the risks
of an invasive procedure, stress testing is
often employed for an initial assessment of
patients with suspected coronary artery disease,
serving as a gatekeeper for cardiac
catheterization. With the emergence of noninvasive
coronary angiography, the question
arises if such a strategy is still sensible, particularly,
in view of only a modest agreement
between stress testing results and the presence
of coronary artery disease established by
cardiac catheterization. Much data in support
of the diagnostic accuracy and prognostic
value of non-invasive coronary angiography by
computed tomography have emerged within
the last few years. These data challenge the
role of stress testing as the initial imaging
modality in patients with suspected coronary
artery disease. This article reviews the clinical
utility, limitations, as well as the hazards of
stress testing compared with non-invasive
coronary artery imaging by computed tomography.
Finally, the implications of this review
are discussed in relation to clinical practice.

Keywords

CT angiography, stress testing, cardiac CT, coronary artery disease.

2

Article Information

Correspondence

Armin Arbab-Zadeh, The Johns Hopkins Hospital, 600 N. Wolfe St/Blalock 524, Baltimore, MD 21287-0409, USA. Tel. +1.410.502.0549 – Fax: +1.443.287.6624. E-mail: arminzadeh@jhu.edu

Received

2011-12-21T00:00:00

3

Further Resources

Share
Facebook
X (formerly Twitter)
LinkedIn
Via Email
Mark CompleteCompleted
BookmarkBookmarked
Copy LinkLink Copied
Download as PDF
Close Popup