Enfermedad arterial coronaria o cardiopatía isquémica: dos entidades distintas con diferentes procedimientos diagnósticos / Coronary artery disease and cardiac ischemic disease: two different pathologies with different diagnostic procedures
Arch. cardiol. Méx
;
79(4): 279-285, oct.-dic. 2009. ilus
Article
in Spanish
| LILACS
| ID: lil-565606
ABSTRACT
Coronary artery disease (CAD) remains the leading cause of death in the Western world, and early detection of CAD allows optimal therapeutic management. The gold standard has always been invasive coronary angiography, but over the years various non-invasive techniques have been developed to detect CAD, including cardiac SPECT and cardiac computed tomography (Cardiac CT). Cardiac SPECT permitted visualization of myocardial perfusion and have focused on the assessment of the hemodynamic consequences of obstructive coronary lesions as a marker of CAD. Cardiac CT focuses on the detection of atherosclerosis rather than ischemia, and permit detection of CAD at an earlier stage. Objectives of this manuscript are to discuss the clinical experience with both modalities and to provide a critical review of the strengths and limitations of Cardiac SPECT and Cardiac CT for the diagnostic and management of patients with suspected CAD or cardiac ischemic disease.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Coronary Artery Disease
/
Myocardial Ischemia
Type of study:
Diagnostic study
/
Screening study
Limits:
Humans
Language:
Spanish
Journal:
Arch. cardiol. Méx
Journal subject:
Cardiology
Year:
2009
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Nacional de Cardiología Ignacio Chávez/MX
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