Perspectives on the Future of Stress Testing

2018 ◽  
pp. 543-546
Author(s):  
L. Samuel Wann ◽  
Gregory S. Thomas
Keyword(s):  
Stress Testing ◽  
Cardiac Computed Tomography ◽  
Low Cost ◽  
Obstructive Coronary Artery Disease ◽  
Positron Emission ◽  
The Future ◽  
Individual Capacity ◽  
Artery Disease ◽  
Definition Of ◽  
Prediction Of Prognosis

The chapter Perspectives on the Future of Stress Testing forecasts changes in the ability to detect atherosclerosis in the form of obstructive and non-obstructive coronary artery disease and ischemia. These will continue to include low cost and widely available exercise testing as well as embracing new technology such as mobile sensors, biomarkers, and genetic testing. Continued advancements in positron emission tomography, cardiac computed tomography, and cardiac magnetic resonance imaging will create new opportunities for better definition of myocardial blood flow and prediction of prognosis. While we will continue to expand our ability to measure greater detail of aspects of cardiac structure, function and metabolism, the humanity of a clinician being at the side of the treadmill while our whole patients exercise to their individual capacity remains a valuable diagnostic, educational and bonding opportunity

scholarly journals Preventing myocardial infarction: use and limitation of non-invasive imaging modalities

2020 ◽  
Vol 22 (Supplement_E) ◽  
pp. E110-E112
Author(s):  
Gian Piero Perna
Keyword(s):  
High Speed ◽  
Low Cost ◽  
Cardiovascular Prevention ◽  
Additional Contribution ◽  
Essential Information ◽  
Non Invasive ◽  
Asymptomatic Patients ◽  
Coronary Events ◽  
Artery Disease ◽  
Definition Of

Abstract Identifying patients at high risk of coronary events is the main focus of cardiovascular prevention. For primary prevention score and risk cards are very low cost solutions, but only of limited efficacy, thus justifying the use of non-invasive imaging testing for the purpose of increasing the ‘diagnostic gain’. Considering all the diagnostic tests employed, only few demonstrated significant additional contribution to the risk score stratification. Coronary imaging with high speed volumetric computed tomography can provide essential information in ruling out and/or definition of coronary artery disease but also has limitations as far as the biological risk, the costs, and the difficulties of putting into perspective the results obtained in asymptomatic patients.

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