Cargando…

Current Concepts and Future Applications of Non-Invasive Functional and Anatomical Evaluation of Coronary Artery Disease

Over the last decades, significant advances have been achieved in the treatment of coronary artery disease (CAD). Proper non-invasive diagnosis and appropriate management based on functional information and the extension of ischemia or viability remain the cornerstone in the fight against adverse CA...

Descripción completa

Detalles Bibliográficos
Autores principales: Oikonomou, Evangelos, Theofilis, Panagiotis, Lampsas, Stamatios, Katsarou, Ourania, Kalogeras, Konstantinos, Marinos, Georgios, Tsatsaragkou, Aikaterini, Anastasiou, Artemis, Lysandrou, Antonios, Gounaridi, Maria-Ioanna, Gialamas, Ioannis, Vavuranakis, Michael-Andrew, Tousoulis, Dimitris, Vavuranakis, Manolis, Siasos, Gerasimos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9696378/
https://www.ncbi.nlm.nih.gov/pubmed/36362957
http://dx.doi.org/10.3390/life12111803
_version_ 1784838302646403072
author Oikonomou, Evangelos
Theofilis, Panagiotis
Lampsas, Stamatios
Katsarou, Ourania
Kalogeras, Konstantinos
Marinos, Georgios
Tsatsaragkou, Aikaterini
Anastasiou, Artemis
Lysandrou, Antonios
Gounaridi, Maria-Ioanna
Gialamas, Ioannis
Vavuranakis, Michael-Andrew
Tousoulis, Dimitris
Vavuranakis, Manolis
Siasos, Gerasimos
author_facet Oikonomou, Evangelos
Theofilis, Panagiotis
Lampsas, Stamatios
Katsarou, Ourania
Kalogeras, Konstantinos
Marinos, Georgios
Tsatsaragkou, Aikaterini
Anastasiou, Artemis
Lysandrou, Antonios
Gounaridi, Maria-Ioanna
Gialamas, Ioannis
Vavuranakis, Michael-Andrew
Tousoulis, Dimitris
Vavuranakis, Manolis
Siasos, Gerasimos
author_sort Oikonomou, Evangelos
collection PubMed
description Over the last decades, significant advances have been achieved in the treatment of coronary artery disease (CAD). Proper non-invasive diagnosis and appropriate management based on functional information and the extension of ischemia or viability remain the cornerstone in the fight against adverse CAD events. Stress echocardiography and single photon emission computed tomography are often used for the evaluation of ischemia. Advancements in non-invasive imaging modalities such as computed tomography (CT) coronary angiography and cardiac magnetic resonance imaging (MRI) have not only allowed non-invasive imaging of coronary artery lumen but also provide additional functional information. Other characteristics regarding the plaque morphology can be further evaluated with the latest modalities achieving a morpho-functional evaluation of CAD. Advances in the utilization of positron emission tomography (PET), as well as software advancements especially regarding cardiac CT, may provide additional prognostic information to a more evidence-based treatment decision. Since the armamentarium on non-invasive imaging modalities has evolved, the knowledge of the capabilities and limitations of each imaging modality should be evaluated in a case-by-case basis to achieve the best diagnosis and treatment decision. In this review article, we present the most recent advances in the noninvasive anatomical and functional evaluation of CAD.
format Online
Article
Text
id pubmed-9696378
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96963782022-11-26 Current Concepts and Future Applications of Non-Invasive Functional and Anatomical Evaluation of Coronary Artery Disease Oikonomou, Evangelos Theofilis, Panagiotis Lampsas, Stamatios Katsarou, Ourania Kalogeras, Konstantinos Marinos, Georgios Tsatsaragkou, Aikaterini Anastasiou, Artemis Lysandrou, Antonios Gounaridi, Maria-Ioanna Gialamas, Ioannis Vavuranakis, Michael-Andrew Tousoulis, Dimitris Vavuranakis, Manolis Siasos, Gerasimos Life (Basel) Review Over the last decades, significant advances have been achieved in the treatment of coronary artery disease (CAD). Proper non-invasive diagnosis and appropriate management based on functional information and the extension of ischemia or viability remain the cornerstone in the fight against adverse CAD events. Stress echocardiography and single photon emission computed tomography are often used for the evaluation of ischemia. Advancements in non-invasive imaging modalities such as computed tomography (CT) coronary angiography and cardiac magnetic resonance imaging (MRI) have not only allowed non-invasive imaging of coronary artery lumen but also provide additional functional information. Other characteristics regarding the plaque morphology can be further evaluated with the latest modalities achieving a morpho-functional evaluation of CAD. Advances in the utilization of positron emission tomography (PET), as well as software advancements especially regarding cardiac CT, may provide additional prognostic information to a more evidence-based treatment decision. Since the armamentarium on non-invasive imaging modalities has evolved, the knowledge of the capabilities and limitations of each imaging modality should be evaluated in a case-by-case basis to achieve the best diagnosis and treatment decision. In this review article, we present the most recent advances in the noninvasive anatomical and functional evaluation of CAD. MDPI 2022-11-07 /pmc/articles/PMC9696378/ /pubmed/36362957 http://dx.doi.org/10.3390/life12111803 Text en © 2022 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
Oikonomou, Evangelos
Theofilis, Panagiotis
Lampsas, Stamatios
Katsarou, Ourania
Kalogeras, Konstantinos
Marinos, Georgios
Tsatsaragkou, Aikaterini
Anastasiou, Artemis
Lysandrou, Antonios
Gounaridi, Maria-Ioanna
Gialamas, Ioannis
Vavuranakis, Michael-Andrew
Tousoulis, Dimitris
Vavuranakis, Manolis
Siasos, Gerasimos
Current Concepts and Future Applications of Non-Invasive Functional and Anatomical Evaluation of Coronary Artery Disease
title Current Concepts and Future Applications of Non-Invasive Functional and Anatomical Evaluation of Coronary Artery Disease
title_full Current Concepts and Future Applications of Non-Invasive Functional and Anatomical Evaluation of Coronary Artery Disease
title_fullStr Current Concepts and Future Applications of Non-Invasive Functional and Anatomical Evaluation of Coronary Artery Disease
title_full_unstemmed Current Concepts and Future Applications of Non-Invasive Functional and Anatomical Evaluation of Coronary Artery Disease
title_short Current Concepts and Future Applications of Non-Invasive Functional and Anatomical Evaluation of Coronary Artery Disease
title_sort current concepts and future applications of non-invasive functional and anatomical evaluation of coronary artery disease
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9696378/
https://www.ncbi.nlm.nih.gov/pubmed/36362957
http://dx.doi.org/10.3390/life12111803
work_keys_str_mv AT oikonomouevangelos currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT theofilispanagiotis currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT lampsasstamatios currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT katsarouourania currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT kalogeraskonstantinos currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT marinosgeorgios currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT tsatsaragkouaikaterini currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT anastasiouartemis currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT lysandrouantonios currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT gounaridimariaioanna currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT gialamasioannis currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT vavuranakismichaelandrew currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT tousoulisdimitris currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT vavuranakismanolis currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease
AT siasosgerasimos currentconceptsandfutureapplicationsofnoninvasivefunctionalandanatomicalevaluationofcoronaryarterydisease