Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

Coronary angiography has been the gold standard for determining the severity, extent and prognosis of coronary atheromatous disease for the past 15-20 years. However, established non-invasive testing (such as myocardial perfusion scintigraphy and stress echocardiography) and newer imaging modalities (multi-detector x ray computed tomography and cardiovascular magnetic resonance) now need to be considered increasingly as a challenge to coronary angiography in contemporary practice. An important consideration is the degree to which appropriate use of such techniques impacts on the need for coronary angiography over the next 10-15 years. This review aims to determine the role of the various investigation techniques in the management of coronary artery disease and their resource implications, and should help determine future service provision, accepting that we are in a period of significant technological change.

Original publication

DOI

10.1136/hrt.2006.108779

Type

Journal article

Journal

Heart

Publication Date

04/2007

Volume

93

Pages

423 - 431

Keywords

Angioplasty, Balloon, Coronary, Cardiology, Coronary Angiography, Coronary Artery Disease, Coronary Care Units, Echocardiography, Stress, Exercise Test, Exercise Tolerance, Forecasting, Health Workforce, Humans, Magnetic Resonance Angiography, Myocardial Reperfusion, Tomography, Emission-Computed, Single-Photon, Tomography, X-Ray Computed