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Functional and Anatomical Imaging in Patients with Ischemic Symptoms and Known Coronary Artery Disease

  • Nuclear Cardiology (V Dilsizian, Section Editor)
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Abstract

Purpose of Review

This review is aimed at summarizing recent advances in functional, anatomical, and hybrid imaging techniques used in the assessment of ischemic complaints in patients with known coronary artery disease (CAD).

Recent Findings

Cardiovascular imaging has seen significant growth over the last decade in the fields of coronary computed tomography angiography (CCTA), FFR derived from CCTA, cardiac magnetic resonance, radionuclide myocardial perfusion imaging, and hybrid imaging for the purposes of evaluating symptoms concerning for ischemia. This growth stems from refinement of imaging techniques and hardware and software advances that have made current techniques more accurate with less acquisition time. However, every anatomic and functional imaging modality has important technical and patient-specific limitations. This review assesses these issues, guides a patient-centered imaging approach, and identifies important research questions to resolve.

Summary

Recent advances in non-invasive cardiovascular imaging can provide important information in patients with known CAD beyond traditional imaging techniques; the use of these novel tools refines the clinical management of complex patients with ischemic symptoms and known CAD.

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Authors and Affiliations

  1. Cardiovascular Division and the Cardiovascular Imaging Center, Department of Medicine, University of Virginia Health System, Box 800158, 1215 Lee Street, Charlottesville, VA, 22908, USA

    Christopher A. Hanson & Jamieson M. Bourque

  2. Department of Radiology, University of Virginia Health System, Charlottesville, VA, USA

    Jamieson M. Bourque

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  1. Christopher A. Hanson
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Christopher A. Hanson declares that he has no conflict of interest.

Jamieson M. Bourque reports research grant support from Astellas, consulting with Pfizer, and stock ownership in Locus Health.

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Hanson, C.A., Bourque, J.M. Functional and Anatomical Imaging in Patients with Ischemic Symptoms and Known Coronary Artery Disease. Curr Cardiol Rep 21, 79 (2019). https://doi.org/10.1007/s11886-019-1155-3

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