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Reviews in Cardiovascular Medicine  2009, Vol. 10 Issue (S1): 30-37     DOI: 10.3909/ricm10S10005
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Cardiovascular Imaging to Risk-Stratify in Chronic Angina
Norman E. Lepor*, Gerald M. Pohost
* The David Geffen School of Medicine at UCLA, Cedars-Sinai Medical Center, Los Angeles, CA, and Westside Medical Associates of Los Angeles, CA
Keck School of Medicine and the Viterbi School of Engineering, University of Southern California, Los Angeles, CA, Loma Linda University School of Medicine, Loma Linda, CA, and Westside Medical Associates of Los Angeles, CA
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The location, extent, and severity of obstructive coronary artery disease impact cardiovascular risk and mortality in independent and profound ways. Cardiovascular imaging modalities allow physicians to better define the anatomy and physiology of coronary obstructive disease. Conventional coronary angiography remains the most commonly used modality to define coronary anatomy. Computed tomography coronary angiography represents an important innovation, particularly by allowing coronary anatomy to be assessed in a noninvasive fashion. Stress myocardial perfusion imaging with single-photon emission computed tomography is a valuable prognostic tool. Stress testing, echocardiography, and stress myocardial radionuclide perfusion can all play important roles in risk stratification. Stress echocardiography is particularly useful in the clinic, due to the relatively low cost of equipment acquisition and the ability to image without exposure to radiation. The emerging modality of cardiac positron emission tomography offers the prospect of improved resolution, accurate quantification of blood flow, and shorter examination times.
Key words:  Cardiovascular risk      Coronary angiography      Stress myocardial perfusion imaging      Echocardiography      Stress myocardial nuclear perfusion      Cardiac positron emission tomography     
Published:  20 January 2009     

Cite this article: 

Norman E. Lepor, Gerald M. Pohost. Cardiovascular Imaging to Risk-Stratify in Chronic Angina. Reviews in Cardiovascular Medicine, 2009, 10(S1): 30-37.

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