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Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…patients with a high probability, testing may add little diagnostic value and invasive coronary angiography may be more appropriate when symptoms, risk or anatomical considerations…

NSTEMI: Risk Stratification and Timing of the Invasive Strategy

…therefore potentially suitable for a selective invasive approach? Is the clinical likelihood of true NSTE ACS low enough that non invasive evaluation is more appropriate…

Fractional Flow Reserve and Non-Hyperaemic Pressure Ratios

Cardiology Myocardial ischemia and infarction Definition and pathophysiology Fractional flow reserve (FFR) is an invasive, lesion specific physiological index used to estimate the functional significance…

Invasive Coronary Angiography: Indications and Vascular Access

…symptoms, findings from non invasive testing and the anticipated effect of the result on management. ICA with available coronary pressure assessment is recommended in patients…

Principles of myocardial perfusion imaging (SPECT, PET), coronary blood flow and flow reserve (CFR)

Cardiology Principles of myocardial perfusion imaging Myocardial perfusion imaging (MPI) is a non invasive technique for detecting and quantifying coronary artery disease (CAD). It offers…

Coronary Artery Calcium Scoring: Prognostic Use in Practice

…Coronary artery calcium (CAC) scoring is a non invasive method for detecting and quantifying calcified coronary atherosclerotic plaque. It is performed using a non contrast…

Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…diagnosis depends on functional assessment. Coronary microvascular dysfunction (CMD) is characterized invasively by reduced CFR and increased microvascular resistance, measured by the index of microcirculatory…

Coronary CT Angiography and CAD-RADS Reporting

…Myocardial ischemia and infarction Definition and Clinical Role Coronary computed tomographic angiography (CCTA) is a non invasive anatomical examination that depicts the coronary arterial lumen…

Physiological Assessment of Coronary Stenoses and Revascularization Decisions

…a substantial minority of intermediate lesions. Over the past three decades, invasive physiological indices, led by fractional flow reserve (FFR), have been validated against outcomes…

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