Computed tomographic angiography is routinely used in diabetic patients to assess suspected coronary artery disease. However, stress tests could also be of potential benefit. Despite the established higher cardiovascular risk for diabetic patients, the optimal non-invasive test (NIT) for diagnosis of coronary artery disease (CAD) in this population remains unclear. In a … [Read more...] about CT angiography vs stress testing for diabetic patients with suspected CAD
American College of Cardiology Meeting March 16 – 18 , 2019 (New Orleans, LA) HEART FAILURE CardioMEMS PAS trial1: The use of a CardioMEMS sensor (monitoring pulmonary artery pressure) in 1200 heart failure (HF) patients resulted in a 58% reduction in HF-related hospitalization rate in the year following the sensor placement as compared to the previous year. IMAGING … [Read more...] about ACC 2019 – What you need to know
Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) can be used to guide and optimize coronary interventions. The European Association of Percutaneous Cardiovascular Intervention (EAPCI) produced an expert consensus document to summarize the role of intracoronary imaging in clinical practice. Räber et al. reported on strengths and limitations of the use of … [Read more...] about Consensus on intracoronary imaging for guidance and optimization of PCI
The quantification of myocardial blood flow (MBF) by PET is considered as the gold standard for identifying the presence of ischemia. Several studies reported a decrease in MBF from the base to the apex of the left ventricle in the condition of coronary artery disease (CAD). For this reason, Bom et al. investigated the diagnostic accuracy of PET-derived hyperemic longitudinal … [Read more...] about Longitudinal flow gradient for the diagnosis of coronary artery disease
Although coronary computed tomographic angiography (CTA) is known to improve diagnostic certainty in the assessment of patients with stable chest pain, little is known of its potential benefit to clinical outcomes. In the SCOT-HEART trial, 4146 patients with stable chest pain were assigned 1:1 to standard care plus CTA or standard care alone. Investigations, treatments, and … [Read more...] about Coronary CTA: are there therapeutic benefits at five years?