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Ansheles AA. Anatomical and Functional Approaches in the Assessment of Ischemia in Ischemic Heart Disease: Analysis of Major World Research. KARDIOLOGIIA 2022; 62:66-73. [DOI: 10.18087/cardio.2022.10.n1442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 11/28/2020] [Accepted: 01/29/2021] [Indexed: 11/18/2022]
Abstract
This review provides a chronology of major international studies of the effect of evaluating transient myocardial ischemia, including with radionuclide methods, and coronary stenosis on the choice of therapeutic strategy and prognosis for patients with ischemic and coronary disease. The authors discussed the rationales for using anatomic, functional, and perfusion visualization methods of noninvasive diagnostics in evaluation of patients with suspected or established ischemic heart disease.
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Affiliation(s)
- A. A. Ansheles
- Chazov National Medical Research Center of Cardiology, Moscow
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Lakshmanan S, Budoff MJ. Where ISCHEMIA fails, coronary CTA shines. Int J Cardiol 2020; 322:40-42. [PMID: 32871187 DOI: 10.1016/j.ijcard.2020.08.091] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 07/26/2020] [Accepted: 08/26/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Suvasini Lakshmanan
- Lundquist Institute for Biomedical Innovation and Research at Harbor UCLA Medical Center, Torrance, CA, USA
| | - Matthew J Budoff
- Lundquist Institute for Biomedical Innovation and Research at Harbor UCLA Medical Center, Torrance, CA, USA.
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Borjesson M, Dellborg M, Niebauer J, LaGerche A, Schmied C, Solberg EE, Halle M, Adami E, Biffi A, Carré F, Caselli S, Papadakis M, Pressler A, Rasmusen H, Serratosa L, Sharma S, van Buuren F, Pelliccia A. Recommendations for participation in leisure time or competitive sports in athletes-patients with coronary artery disease: a position statement from the Sports Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J 2018; 40:13-18. [DOI: 10.1093/eurheartj/ehy408] [Citation(s) in RCA: 73] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2018] [Accepted: 06/26/2018] [Indexed: 01/09/2023] Open
Affiliation(s)
- Mats Borjesson
- Department of Food, Nutrition and Sports Science, Gothenburg University, Skånegatan 14b, Göteborg, Sweden
- Department of Neuroscience and Physiology, Gothenburg University and Sahlgrenska University Hospital/Östra, Diagnosvägen 11, Göteborg, Sweden
| | - Mikael Dellborg
- Department of Medicine, Sahlgrenska University Hospital/Östra, Diagnosvägen 11, Göteborg, Sweden
| | - Josef Niebauer
- University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Strubergasse 21, Salzburg, Austria
| | - Andre LaGerche
- Baker Heart and Diabetes Institute, 99 Commercial Road, Melbourne VIC, Australia
| | - Christian Schmied
- Kardiologisches Ambulatorium, Sportmedizin/Sportkardiologie, Universitäres Herzzentrum Zürich, Rämistrasse 100, Zurich, Switzerland
| | - Erik E Solberg
- Department of Medicine, Diakonhjemmet Hospital, Diakonveien 12, Oslo, Norway
| | - Martin Halle
- Department of Prevention, Rehabilitation and Sports Medicine, Medical Faculty, University Hospital, Technical University Munich, Georg-Brauchle-Ring 56, Munchen, Germany
| | - Emilio Adami
- Istituto di Medicina e Scienza dello Sport CONI, Largo Piero Gabrielli, 1, Roma, Italy
| | - Alessandro Biffi
- Italian Olympic Committe, Institute for Sports Medicine and Science, Largo Piero Gabrielli, 1, Roma, Italy
| | - Francois Carré
- Sport Medicine Department, Rennes University Hospital, LTSI INSERM UMR 1099, 2 Rue Henri le Guilloux, Rennes, France
| | - Stefano Caselli
- Institute of Sports Medicine and Science, Largo Piero Gabrielli, 1, Roma, Italy
- Ospedale San Pietro Fatebenefratelli, Via Cassia, 600, Roma, Italy
| | - Michael Papadakis
- Cardiology Clinical Academic Group, St George's, University of London, Blackshaw Rd, London, UK
| | - Axel Pressler
- Department of Prevention, Rehabilitation and Sports Medicine, Center for General, Sports and Preventive Cardiology, Technical University of Munich, Georg-Brauchle-Ring 56, Munchen, Germany
| | - Hanne Rasmusen
- Department of Cardiology, Bisbebjerg University Hospital, Bispebjerg Bakke 23, Copenhagen, Denmark
| | - Luis Serratosa
- Hospital Universitario Quironsalud Madrid, Ripoll y De Prado Sport Clinic, FIFA Medical Centre of Excellence, Calle Diego de Velazquez 1, Pozuelo de Alarcon, Madrid, Spain
| | - Sanjay Sharma
- Cardiology Clinical Academic Group, St George's, University of London, Blackshaw Rd, London, UK
| | - Frank van Buuren
- Catholic Hospital Southwestfalia, St. Martinus-Hospital Olpe, Hospitalweg 6, Olpe, Germany
| | - Antonio Pelliccia
- Institute for Sports Medicine and Science, Largo Piero Gabrielli, 1, Roma, Italy
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Arbab-Zadeh A, Fuster V. The Risk Continuum of Atherosclerosis and its Implications for Defining CHD by Coronary Angiography. J Am Coll Cardiol 2017; 68:2467-2478. [PMID: 27908353 DOI: 10.1016/j.jacc.2016.08.069] [Citation(s) in RCA: 72] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 08/17/2016] [Accepted: 08/24/2016] [Indexed: 01/07/2023]
Abstract
Patients undergoing coronary angiography for suspected coronary heart disease who are found to have coronary atherosclerotic disease with <50% diameter stenosis may carry a risk of adverse cardiac events similar to that in patients with single-vessel obstructive disease. Yet clinical practice guidelines offer no direction for managing symptomatic patients with nonobstructive coronary atherosclerosis because current diagnostic criteria for coronary heart disease are not met. Accordingly, secondary preventive measures are not endorsed, and their role is not defined in this setting. Available data suggest that we are missing the opportunity to provide effective preventive measures in millions of patients with nonobstructive coronary heart disease. The emergence of noninvasive coronary angiography in patients with suspected coronary heart disease provides the opportunity to transition from a categorical perspective on the presence or absence of coronary heart disease to accepting the risk continuum from atherosclerosis and its implications for diagnosis and management.
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Affiliation(s)
- Armin Arbab-Zadeh
- Department of Medicine/Cardiology Division, Johns Hopkins University, Baltimore, Maryland.
| | - Valentin Fuster
- Mount Sinai Medical Center, Icahn School of Medicine at Mount Sinai Medical Center, New York, New York; Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
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Kim HY, Doh JH, Lim HS, Nam CW, Shin ES, Koo BK, Lee JM, Park TK, Yang JH, Song YB, Hahn JY, Choi SH, Gwon HC, Lee SH, Kim SM, Choe Y, Choi JH. Identification of Coronary Artery Side Branch Supplying Myocardial Mass That May Benefit From Revascularization. JACC Cardiovasc Interv 2017; 10:571-581. [DOI: 10.1016/j.jcin.2016.11.033] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2016] [Revised: 10/20/2016] [Accepted: 11/17/2016] [Indexed: 10/20/2022]
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