open access

Vol 9, No 2 (2014)
Cardiology Investigation
Published online: 2014-06-27
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Non-invasive diagnostics of ischaemic heart disease — which option to choose?

Gabriela Parol, Małgorzata Kobylecka, Leopold Bakoń
Folia Cardiologica 2014;9(2):197-204.

open access

Vol 9, No 2 (2014)
Cardiology Investigation
Published online: 2014-06-27

Abstract

Non-invasive methods for assessment of myocardial ischaemia or anatomy of coronary arteries are widely used in diagnostics of coronary disease. Nowadays, more weight is given to considering the pre-test probability of the presence of coronary disease before making choice of further management strategy. Assuming that patients with low PTP (< 15%) do not have obstructive coronary disease, no further specific non-invasive stress testing is recommended. At the same time, in patients with high PTP (> 85%), the clinical likelihood of coronary disease with significant changes in epicardial arteries is so high, that it seems justified to refer them directly to invasive diagnostics and revascularization. Non-invasivetests (exercise test, SPECT, PET, MRI, MSCT) are appropriate for patients at intermediate risk of coronary disease (15–85%), who might potentially benefit from invasive diagnostics and revascularization, and for risk stratification of future cardiovascular events.

Abstract

Non-invasive methods for assessment of myocardial ischaemia or anatomy of coronary arteries are widely used in diagnostics of coronary disease. Nowadays, more weight is given to considering the pre-test probability of the presence of coronary disease before making choice of further management strategy. Assuming that patients with low PTP (< 15%) do not have obstructive coronary disease, no further specific non-invasive stress testing is recommended. At the same time, in patients with high PTP (> 85%), the clinical likelihood of coronary disease with significant changes in epicardial arteries is so high, that it seems justified to refer them directly to invasive diagnostics and revascularization. Non-invasivetests (exercise test, SPECT, PET, MRI, MSCT) are appropriate for patients at intermediate risk of coronary disease (15–85%), who might potentially benefit from invasive diagnostics and revascularization, and for risk stratification of future cardiovascular events.

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Keywords

stable coronary disease, pre-test probability, non-invasive stress tests

About this article
Title

Non-invasive diagnostics of ischaemic heart disease — which option to choose?

Journal

Folia Cardiologica

Issue

Vol 9, No 2 (2014)

Pages

197-204

Published online

2014-06-27

Bibliographic record

Folia Cardiologica 2014;9(2):197-204.

Keywords

stable coronary disease
pre-test probability
non-invasive stress tests

Authors

Gabriela Parol
Małgorzata Kobylecka
Leopold Bakoń

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