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Cardiac imaging to investigate suspected cardiac pain in the post-treadmill era

Oliver E Gosling1, Gareth Morgan-Hughes2, Nick G Bellenger3

  • 1Cardiology Department, Musgrove Park Hospital, Taunton, UK ogosling@nhs.net.

Clinical Medicine (London, England)
|October 11, 2014
PubMed

Insights

Cardiovascular disease is a leading cause of UK hospital admissions. This review compares advanced imaging tests like cardiac CT and MRI for diagnosing coronary artery disease, aiding clinical decisions.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Symptomatic cardiovascular disease is a primary reason for UK hospitalizations.
  • Over 100,000 patients annually undergo treadmill testing in rapid access chest pain clinics.
  • New imaging technologies offer diverse diagnostic options for clinicians.

Purpose of the Study:

  • To review and compare various cardiac imaging modalities.
  • To evaluate patient experience, accuracy, and prognostic data for different tests.
  • To discuss the future prospects of cardiac computed tomography and cardiac magnetic resonance imaging.

Main Methods:

  • Review of current literature on cardiac imaging techniques.
  • Comparison of nuclear perfusion scanning, dobutamine stress echocardiography, cardiac CT, and stress cardiac MRI.
  • Analysis of factors influencing modality choice, including pre-test probability and patient characteristics.

Main Results:

  • Each imaging modality possesses unique strengths and limitations.
  • Test selection is influenced by pre-test likelihood of coronary artery disease and patient factors.
  • Cardiac CT and MRI offer advanced visualization and diagnostic capabilities.

Conclusions:

  • The choice of imaging modality requires careful consideration of clinical context.
  • Cardiac CT and MRI represent significant advancements in diagnosing coronary artery disease.
  • Further evaluation of prognostic data and future applications of these technologies is warranted.

Keywords:
Ischaemic heart diseasecardiac CTcardiac MRI.

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