Non-invasive imaging in coronary syndromes: recommendations of the European Association of Cardiovascular Imaging and the American Society of Echocardiography, in collaboration with the American Society of Nuclear Cardiology, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance

Abstract

Coronary artery disease (CAD) is one of the major causes of mortality and morbidity worldwide, with a high socioeconomic impact.(1) Non-invasive imaging modalities play a fundamental role in the evaluation and management of patients with known or suspected CAD. Imaging end-points have served as surrogate markers in many observational studies and randomized clinical trials that evaluated the benefits of specific therapies for CAD.(2) A number of guidelines and recommendations have been published about coronary syndromes by cardiology societies and associations, but have not focused on the excellent opportunities with cardiac imaging. The recent European Society of Cardiology (ESC) 2019 guideline on chronic coronary syndromes (CCS) and 2020 guideline on acute coronary syndromes in patients presenting with non-ST-segment elevation (NSTE-ACS) highlight the importance of non-invasive imaging in the diagnosis, treatment, and risk assessment of the disease.(3)(4) The purpose of the current recommendations is to present the significant role of non-invasive imaging in coronary syndromes in more detail. These recommendations have been developed by the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE), in collaboration with the American Society of Nuclear Cardiology, the Society of Cardiovascular Computed Tomography, and the Society for Cardiovascular Magnetic Resonance, all of which have approved the final document.

Posicionamento sobre a Saúde Cardiovascular nas Mulheres – 2022

“…Além de diagnosticar alterações da contratilidade regional, identifica outras causas de dor torácica, como valvopatias, miocardiopatias, aortopatias e pericardiopatias. 137 A ecocardiografia de estresse é uma técnica atrativa, principalmente para mulheres jovens ou com risco de câncer de mama, pela ausência de exposição à radiação. Não existem muitos estudos avaliando diferenças no desempenho da ecocardiografia de estresse entre os sexos.…”

State-of-the-Art Multimodality Imaging in Sudden Cardiac Arrest with Focus on Idiopathic Ventricular Fibrillation: A Review

“…It is inexpensive, easily available, and enables the diagnosis of valvular and congenital heart diseases associated with SCA [ 30 ]. In case of an inconclusive ECG after resuscitation, echocardiography can reveal regional wall motion abnormalities which raise suspicion for CAD [ 31 ]. Regional wall motion abnormalities are more frequently seen in SCA survivors with CAD than without (64% vs. 18%), as shown by Lee et al [ 32 ].…”

Predictive value of layer-specific speckle tracking technique combined with triglyceride-glucose index in the diagnosis of acute coronary syndrome complicated with diabetes mellitus

“…This method can quickly identify patients with reduced insulin sensitivity based on conventional biochemical test results and simple calculations and has good accuracy and repeatability (7,8). The latest guidelines issued by the European Association of Cardiovascular Imaging emphasized the importance of non-invasive imaging technology in the diagnosis, treatment, and risk assessment of ACS (9). This guideline pointed out that for all patients suspected of ACS, echocardiography should be performed immediately to assess ventricular wall motion.…”