Cargando…

The Role of Non-Invasive Multimodality Imaging in Chronic Coronary Syndrome: Anatomical and Functional Pathways

Coronary artery disease (CAD) is one of the major causes of mortality and morbidity worldwide, with a high socioeconomic impact. Currently, various guidelines and recommendations have been published about chronic coronary syndromes (CCS). According to the recent European Society of Cardiology guidel...

Descripción completa

Detalles Bibliográficos
Autores principales: Bergamaschi, Luca, Pavon, Anna Giulia, Angeli, Francesco, Tuttolomondo, Domenico, Belmonte, Marta, Armillotta, Matteo, Sansonetti, Angelo, Foà, Alberto, Paolisso, Pasquale, Baggiano, Andrea, Mushtaq, Saima, De Zan, Giulia, Carriero, Serena, Cramer, Maarten-Jan, Teske, Arco J., Broekhuizen, Lysette, van der Bilt, Ivo, Muscogiuri, Giuseppe, Sironi, Sandro, Leo, Laura Anna, Gaibazzi, Nicola, Lovato, Luigi, Pontone, Gianluca, Pizzi, Carmine, Guglielmo, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297526/
https://www.ncbi.nlm.nih.gov/pubmed/37370978
http://dx.doi.org/10.3390/diagnostics13122083
_version_ 1785063903008391168
author Bergamaschi, Luca
Pavon, Anna Giulia
Angeli, Francesco
Tuttolomondo, Domenico
Belmonte, Marta
Armillotta, Matteo
Sansonetti, Angelo
Foà, Alberto
Paolisso, Pasquale
Baggiano, Andrea
Mushtaq, Saima
De Zan, Giulia
Carriero, Serena
Cramer, Maarten-Jan
Teske, Arco J.
Broekhuizen, Lysette
van der Bilt, Ivo
Muscogiuri, Giuseppe
Sironi, Sandro
Leo, Laura Anna
Gaibazzi, Nicola
Lovato, Luigi
Pontone, Gianluca
Pizzi, Carmine
Guglielmo, Marco
author_facet Bergamaschi, Luca
Pavon, Anna Giulia
Angeli, Francesco
Tuttolomondo, Domenico
Belmonte, Marta
Armillotta, Matteo
Sansonetti, Angelo
Foà, Alberto
Paolisso, Pasquale
Baggiano, Andrea
Mushtaq, Saima
De Zan, Giulia
Carriero, Serena
Cramer, Maarten-Jan
Teske, Arco J.
Broekhuizen, Lysette
van der Bilt, Ivo
Muscogiuri, Giuseppe
Sironi, Sandro
Leo, Laura Anna
Gaibazzi, Nicola
Lovato, Luigi
Pontone, Gianluca
Pizzi, Carmine
Guglielmo, Marco
author_sort Bergamaschi, Luca
collection PubMed
description Coronary artery disease (CAD) is one of the major causes of mortality and morbidity worldwide, with a high socioeconomic impact. Currently, various guidelines and recommendations have been published about chronic coronary syndromes (CCS). According to the recent European Society of Cardiology guidelines on chronic coronary syndrome, a multimodal imaging approach is strongly recommended in the evaluation of patients with suspected CAD. Today, in the current practice, non-invasive imaging methods can assess coronary anatomy through coronary computed tomography angiography (CCTA) and/or inducible myocardial ischemia through functional stress testing (stress echocardiography, cardiac magnetic resonance imaging, single photon emission computed tomography—SPECT, or positron emission tomography—PET). However, recent trials (ISCHEMIA and REVIVED) have cast doubt on the previous conception of the management of patients with CCS, and nowadays it is essential to understand the limitations and strengths of each imaging method and, specifically, when to choose a functional approach focused on the ischemia versus a coronary anatomy-based one. Finally, the concept of a pathophysiology-driven treatment of these patients emerged as an important goal of multimodal imaging, integrating ‘anatomical’ and ‘functional’ information. The present review aims to provide an overview of non-invasive imaging modalities for the comprehensive management of CCS patients.
format Online
Article
Text
id pubmed-10297526
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-102975262023-06-28 The Role of Non-Invasive Multimodality Imaging in Chronic Coronary Syndrome: Anatomical and Functional Pathways Bergamaschi, Luca Pavon, Anna Giulia Angeli, Francesco Tuttolomondo, Domenico Belmonte, Marta Armillotta, Matteo Sansonetti, Angelo Foà, Alberto Paolisso, Pasquale Baggiano, Andrea Mushtaq, Saima De Zan, Giulia Carriero, Serena Cramer, Maarten-Jan Teske, Arco J. Broekhuizen, Lysette van der Bilt, Ivo Muscogiuri, Giuseppe Sironi, Sandro Leo, Laura Anna Gaibazzi, Nicola Lovato, Luigi Pontone, Gianluca Pizzi, Carmine Guglielmo, Marco Diagnostics (Basel) Review Coronary artery disease (CAD) is one of the major causes of mortality and morbidity worldwide, with a high socioeconomic impact. Currently, various guidelines and recommendations have been published about chronic coronary syndromes (CCS). According to the recent European Society of Cardiology guidelines on chronic coronary syndrome, a multimodal imaging approach is strongly recommended in the evaluation of patients with suspected CAD. Today, in the current practice, non-invasive imaging methods can assess coronary anatomy through coronary computed tomography angiography (CCTA) and/or inducible myocardial ischemia through functional stress testing (stress echocardiography, cardiac magnetic resonance imaging, single photon emission computed tomography—SPECT, or positron emission tomography—PET). However, recent trials (ISCHEMIA and REVIVED) have cast doubt on the previous conception of the management of patients with CCS, and nowadays it is essential to understand the limitations and strengths of each imaging method and, specifically, when to choose a functional approach focused on the ischemia versus a coronary anatomy-based one. Finally, the concept of a pathophysiology-driven treatment of these patients emerged as an important goal of multimodal imaging, integrating ‘anatomical’ and ‘functional’ information. The present review aims to provide an overview of non-invasive imaging modalities for the comprehensive management of CCS patients. MDPI 2023-06-16 /pmc/articles/PMC10297526/ /pubmed/37370978 http://dx.doi.org/10.3390/diagnostics13122083 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Bergamaschi, Luca
Pavon, Anna Giulia
Angeli, Francesco
Tuttolomondo, Domenico
Belmonte, Marta
Armillotta, Matteo
Sansonetti, Angelo
Foà, Alberto
Paolisso, Pasquale
Baggiano, Andrea
Mushtaq, Saima
De Zan, Giulia
Carriero, Serena
Cramer, Maarten-Jan
Teske, Arco J.
Broekhuizen, Lysette
van der Bilt, Ivo
Muscogiuri, Giuseppe
Sironi, Sandro
Leo, Laura Anna
Gaibazzi, Nicola
Lovato, Luigi
Pontone, Gianluca
Pizzi, Carmine
Guglielmo, Marco
The Role of Non-Invasive Multimodality Imaging in Chronic Coronary Syndrome: Anatomical and Functional Pathways
title The Role of Non-Invasive Multimodality Imaging in Chronic Coronary Syndrome: Anatomical and Functional Pathways
title_full The Role of Non-Invasive Multimodality Imaging in Chronic Coronary Syndrome: Anatomical and Functional Pathways
title_fullStr The Role of Non-Invasive Multimodality Imaging in Chronic Coronary Syndrome: Anatomical and Functional Pathways
title_full_unstemmed The Role of Non-Invasive Multimodality Imaging in Chronic Coronary Syndrome: Anatomical and Functional Pathways
title_short The Role of Non-Invasive Multimodality Imaging in Chronic Coronary Syndrome: Anatomical and Functional Pathways
title_sort role of non-invasive multimodality imaging in chronic coronary syndrome: anatomical and functional pathways
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297526/
https://www.ncbi.nlm.nih.gov/pubmed/37370978
http://dx.doi.org/10.3390/diagnostics13122083
work_keys_str_mv AT bergamaschiluca theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT pavonannagiulia theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT angelifrancesco theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT tuttolomondodomenico theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT belmontemarta theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT armillottamatteo theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT sansonettiangelo theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT foaalberto theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT paolissopasquale theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT baggianoandrea theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT mushtaqsaima theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT dezangiulia theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT carrieroserena theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT cramermaartenjan theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT teskearcoj theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT broekhuizenlysette theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT vanderbiltivo theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT muscogiurigiuseppe theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT sironisandro theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT leolauraanna theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT gaibazzinicola theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT lovatoluigi theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT pontonegianluca theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT pizzicarmine theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT guglielmomarco theroleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT bergamaschiluca roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT pavonannagiulia roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT angelifrancesco roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT tuttolomondodomenico roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT belmontemarta roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT armillottamatteo roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT sansonettiangelo roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT foaalberto roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT paolissopasquale roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT baggianoandrea roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT mushtaqsaima roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT dezangiulia roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT carrieroserena roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT cramermaartenjan roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT teskearcoj roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT broekhuizenlysette roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT vanderbiltivo roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT muscogiurigiuseppe roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT sironisandro roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT leolauraanna roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT gaibazzinicola roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT lovatoluigi roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT pontonegianluca roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT pizzicarmine roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways
AT guglielmomarco roleofnoninvasivemultimodalityimaginginchroniccoronarysyndromeanatomicalandfunctionalpathways