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Evidence-Based Imaging pp 411–424Cite as

24 Cardiac Evaluation: The Current Status of Outcomes-Based Imaging

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Key Points

A strong recommendation can be made for initial coronary angiography among high-risk patients and those who are post myocardial infarction (MI) that was transmural or with ischemic symptoms (strong evidence). A strong recommendation can be made for performing a noninvasive imaging examination [e.g., single photon emission computed tomography (SPECT) or stress echo] prior to coronary angiography in low-risk patients and those who have had a non-Q-wave MI (strong evidence). Aside from coronary angiography, the appropriate usage of cardiac imaging studies remains unclear, and more research is required to evaluate the outcomes, as well as the cost-effectiveness of the aforementioned modalities (insufficient evidence). Coronary artery calcium scoring has been shown in asymptomatic patients to be predictive of coronary artery disease (CAD); however, there have been no data to support the position of added predictive value over and above the clinical Framingham model (insufficient evidence).

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Author information

Authors and Affiliations

  1. Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, 63110, USA

    Andrew J. Bierhals

Authors
  1. Andrew J. Bierhals
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  2. Pamela K. Woodard
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Corresponding author

Correspondence to Andrew J. Bierhals .

Editor information

Editors and Affiliations

  1. , Department of Radiology, Miami Children's Hospital, SW 114 Street 7420, Miami, 33156, Florida, USA

    L. Santiago Medina

  2. Harborview Medical Center, Department of Radiology, University of Washington, Ninth Avenue 325, Seattle, 98104-2499, Washington, USA

    C. Craig Blackmore

  3. , Department of Radiology, Emory University School of Medicine, 1364 Clifton Road, NE Suite D112, Atlanta, 30322, USA

    Kimberly Applegate

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© 2011 Springer New York

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Bierhals, A.J., Woodard, P.K. (2011). 24 Cardiac Evaluation: The Current Status of Outcomes-Based Imaging. In: Medina, L., Blackmore, C., Applegate, K. (eds) Evidence-Based Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7777-9_24

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  • DOI: https://doi.org/10.1007/978-1-4419-7777-9_24

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-7776-2

  • Online ISBN: 978-1-4419-7777-9

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