AI Article Synopsis
- Coronary artery disease is the top cause of serious health issues and deaths globally, and recent studies show no significant mortality benefits from invasive treatments for stable angina compared to medication alone.
- While coronary angiography is the standard diagnostic tool, it poses serious risks like heart attacks and strokes, prompting a need for safer alternatives.
- New imaging methods have been developed for diagnosing coronary artery disease in stable patients, and current guidelines recommend these techniques as the first step in diagnosis, highlighting their advantages and limitations.
Article Abstract
Coronary artery disease continues to be the leading cause of morbidity and mortality worldwide. Recent clinical trials have not demonstrated any mortality benefit of percutaneous coronary intervention compared to medical management alone in the treatment of stable angina. While invasive coronary angiography remains the gold standard for diagnosing coronary artery disease, it comes with significant risks, including myocardial infarction, stroke and death. There have been significant advances in imaging techniques to diagnose coronary artery disease in haemodynamically stable patients. The latest National Institute for Health and Care Excellence and European College of Cardiology guidelines emphasise the importance of using these imaging techniques first to inform diagnosis. This review discusses these guidelines and imaging techniques, alongside their benefits and drawbacks.
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| http://dx.doi.org/10.12968/hmed.2022.0176 | DOI Listing |
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