The diagnostic process of stable angina: Still many doubts since Heberden's first description 250 years ago

Irene Raso, Ilaria Passarelli, Gioacchino Valenti, Gabriele Crimi, Stefano De Servi

Research output: Contribution to journalReview article

Abstract

Since Heberden's first description, stable angina has represented a challenge for the clinicians. Even the most recent guidelines seem ineffective to correctly identify patients who should be sent to cath labs. Still too many patients who undergo coronary angiography are found not to have significant lesions; moreover, its extensive use as the first diagnostic test leads to revascularizations with uncertain appropriateness and prognostic significance. These considerations underline the importance of noninvasive testing before sending patients to invasive coronary angiography. However, it is still debatable whether it is better to pursue anatomic evaluation of the coronary tree with the use of computed tomography or assessment of myocardial ischemia, a controversy which has not been resolved by recent trials comparing the two diagnostic modalities. A combined approach using both functional and anatomic testing may lead to a more careful risk stratification before invasive coronary angiography. The aim of this article is to discuss the most recent evidence in this field, and its application in clinical practice.

Original languageEnglish
Pages (from-to)45-50
Number of pages6
JournalJournal of Cardiovascular Medicine
Volume19
Issue number2
DOIs
Publication statusPublished - Feb 1 2018

Keywords

  • coronary artery disease
  • diagnostic tests
  • stable angina

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'The diagnostic process of stable angina: Still many doubts since Heberden's first description 250 years ago'. Together they form a unique fingerprint.

  • Cite this