Reconciling discordant myocardial perfusion imaging and coronary angiography

Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology
Joyce RollorAnuj Gupta

Abstract

A common clinical conundrum presents itself in the discordance between nuclear stress testing and invasive coronary angiography (ICA) in the patient presenting with angina. A patient with an abnormal perfusion scan and "normal coronary angiography" may result in the patient's symptoms being dismissed as "non-cardiac." Alternatively, a patient with a "normal perfusion study," who nonetheless undergoes ICA and is found to have significant coronary artery disease may confound efforts to risk stratify and potentially treat patients with angina. This paper will review the current evidence to explain these apparent paradoxical scenarios.

References

Oct 1, 1990·Clinical Pharmacology and Therapeutics·P SmitsT Thien
May 15, 2003·International Journal of Cardiovascular Interventions·Wilbert H AarnoudseNico H J Pijls
Jun 6, 2006·Journal of the American College of Cardiology·Gilbert J ZoghbiAmi E Iskandrian
Aug 7, 2007·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Daniel S BermanGuido Germano
Mar 29, 2008·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·George A Beller
Mar 12, 2010·The New England Journal of Medicine·Manesh R PatelPamela S Douglas
Mar 4, 2011·European Heart Journal·Tessa S S GendersUNKNOWN CAD Consortium
Jan 29, 2014·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Shu YokotaPieter L Jager
Nov 5, 2014·JAMA : the Journal of the American Medical Association·Thomas M MaddoxJohn S Rumsfeld
May 15, 2015·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Rine NakanishiDaniel S Berman
Oct 24, 2015·Journal of the American College of Cardiology·Hidenari MatsumotoTaketoshi Yamazaki
Dec 31, 2015·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Manish MotwaniPiotr J Slomka

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

© 2022 Meta ULC. All rights reserved