Copyright © 2003 by the European Society of Cardiology.
Review article
Noninvasive evaluation of ischaemic heart disease: myocardial perfusion imaging or stress echocardiography?
a Thoraxcenter, Department of Cardiology, Erasmus MC, Rotterdam, The Netherlands
b Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
* Corresponding author. Thoraxcenter Room Ba 300, Department of Cardiology, Erasmus MC, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
E-mail address: poldermans@hlkd.azr.nl
Received 3 July 2002; revised 27 August 2002; accepted 28 August 2002
| The first 150 words of the full text of this article appear below. |
1. Introduction
Stress echocardiography and myocardial perfusion imaging are commonly used noninvasive imaging modalities for the evaluation of ischaemic heart disease. Both modalities have proved clinically useful in the entire spectrum of coronary artery disease.1–29 Both techniques can detect coronary artery disease and provide prognostic information.1–21 Both techniques can identify low-risk and high-risk subsets among patients with known or suspected coronary artery disease and thus guide patient management decisions.18–21 In patients with acute myocardial infarction, both techniques have been used to identify residual viable tissue and predict improvement of function over time.22–26 In patients with chronic ischaemic left ventricular (LV) dysfunction, viability assessment with either modality can be used to predict improvement of function after revascularisation and thus guide patient treatment.27–29
Hence, the use of noninvasive cardiac imaging can help guide management and potentially reduce healthcare costs.30 The question remains what is the optimal noninvasive cardiac imaging method in which setting? This
2. Methods
3. Results
3.1. Detection of coronary artery disease
3.2. Prognosis in coronary artery disease
3.3. Assessment of myocardial viability
3.3.1. Prediction of functional recovery after acute myocardial infarction
3.3.2. Prediction of functional recovery after revascularisation in chronic ischaemic LV dysfunction
4. Recent developments: simultaneous assessment of function and perfusion
5. Clinical implications and conclusions
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