OBJECTIVES The aim of this study was to perform a head-to-head comparison between multi-slice computed tomography (MSCT) and myocardial perfusion imaging (MPI) in patients with an intermediate likelihood of coronary artery disease (CAD) and to compare non-invasive findings to invasive coronary angiography. BACKGROUND Multi-slice computed tomography detects atherosclerosis, whereas MPI detects...

Background A number of investigative strategies exist for the diagnosis of coronary heart disease (CHD). Despite the widespread availability of non-invasive imaging, invasive angiography is commonly used early in the diagnostic pathway. Consequently, approximately 60% of angiograms reveal no evidence of obstructive coronary disease. Reducing unnecessary angiography has potential financial savin...

Background Patients with heart transplant are susceptible to developing chronic allograft vasculopathy (CAV) which increases in frequency over time. Traditional methods for diagnosing CAV rely on invasive catheter based angiography and intravascular ultrasound (IVUS). Stress perfusion cardiac MRI (CMR) is frequently used to noninvasively diagnose ischemic heart disease and has also been used to...

BACKGROUND Invasive coronary angiography is the gold standard means of imaging bypass vessels and carries a small but potentially serious risk of local vascular complications, including myocardial infarction, stroke and death. We evaluated computed tomography as a non-invasive means of assessing graft patency. METHODS Fifty patients with previous coronary artery bypass surgery who were listed...

Myocardial infarction with non-obstructive coronary arteries (MINOCA) is defined by clinical evidence of myocardial (MI) normal or near-normal on angiography. This condition present in about 5% to 25% patients presenting acute syndromes. MINOCA a working diagnosis. Current guidelines and consensus recommend identification underlying causes order optimize treatment, improve prognosis, promote pr...

BACKGROUND Recent studies have demonstrated the consistently high diagnostic and prognostic value of dobutamine stress cardiovascular magnetic resonance (DCMR). The value of DCMR for clinical decision making still needs to be defined. Hence, the purpose of this study was to assess the utility of DCMR regarding clinical management of patients with suspected and known coronary artery disease (CAD...

Methods Forty-seven patients had 1.5T steady state free precession, regadenoson stress perfusion CMR and either a ≤ 30% coronary narrowing by CT angiography (CTA) or a ≥70% stenosis by invasive coronary angiography (ICA). CMR perfusion pixel maps were generated by a modelconstrained deconvolution with and without the myocardial segmentation. The two independent observers were blinded to clinica...

BACKGROUND Multidetector computed tomography (MDCT) has gained wide acceptance in the evaluation of the cardiovascular system. Of particular clinical interest is its ability to non-invasively evaluate coronary arteries in patients presenting to the emergency room. In acute coronary syndromes, myocardial ischemia is most often caused by atherosclerosis. We present a case of a rare cause of acute...

Extracranial arterial disease was assessed using non-invasive continuous wave Doppler ultrasound. The results of the Doppler study were compared with those of angiography. There was a positive correlation between the results of angiography and the shape of the Doppler waveform, but the correlation was improved by adding a compression manceuvre to the procedure.

Coronary computed tomography (CT) angiography has been recognized as the most rapidly developed imaging technique in the diagnosis of coronary artery disease due to the emergence and technological advances in multislice CT scanners. Coronary CT angiography has been confirmed to demonstrate high diagnostic and predictive value in coronary artery disease when compared to invasive coronary angiogr...