Stable coronary artery disease - opportunities of non-invasive visualization

Abstract

Nowadays «mechanical» theory of myocardial ischemia is being criticized in both scientific and clinical points of view. Its main point is straight correlation between percent of stenosis of coronary artery and level of myocardial ischemia in segments perfused by «narrowed» coronary artery. Almost every cardiologist has faced clinical situations, when there is no significant ischemia detected during stress-induced tests in segments perfused by coronary artery, that has significant stenosis visualized during coronary angiography. Therefore assessment of functional significance of stenosis is one of main areas of interest among patients with SCAD.In every clinical case most informative test should be chosen in purpose to spot the most appropriate way of treatment and evaluate the need of revascularization. The more accurate diagnostics is done and selection of patient for each way of treatment, the better results we can achieve.

Keywords

• coronary artery disease
• myocardial perfusion
• ischemia
• revascularization
• pharmacological stress induction
• single photon emission cy
• stress-echo
• positron emission tomography
• mri
• stress-mri