Diagnosing Coronary Artery Disease in the Patient Presenting with Stable Ischemic Heart Disease: The Role of Anatomic versus Functional Testing

Med Clin North Am. 2024 May;108(3):427-439. doi: 10.1016/j.mcna.2023.11.002. Epub 2023 Dec 14.ABSTRACTThere are unique advantages and disadvantages to functional versus anatomic testing in the work-up of patients who present with symptoms suggestive of obstructive coronary artery disease. Evaluation of these individuals starts with an assessment of pre-test probability, which guides subsequent testing decisions. The choice between anatomic and functional testing depends on this pre-test probability. In general, anatomic testing has particular utility among younger individuals and women; while functional testing can be helpful to rule-in ischemia and guide revascularization decisions. Ultimately, selection of the most appropriate test should be individualized to the patient and clinical scenario.PMID:38548455 | DOI:10.1016/j.mcna.2023.11.002
Source: The Medical Clinics of North America - Category: General Medicine Authors: Source Type: research