Which Test Should I Order for an Inpatient Evaluation of Cardiac Ischemia?

NEJM evidence Pub Date : 2024-07-01 Epub Date: 2024-06-25 DOI:10.1056/EVIDccon2300274
Rahul Aggarwal, Deepak L Bhatt
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Abstract

AbstractTesting for cardiac ischemia, or for the obstructive coronary artery disease (CAD) that causes cardiac ischemia, is common among hospitalized patients. Many testing options exist. Choosing an appropriate test can be challenging and requires accurate risk stratification. Two major categories of testing are available: stress testing (also known as functional testing) and anatomical testing. Stress testing evaluates specifically for ischemia and can be conducted with or without imaging. Anatomical testing visualizes the obstructive CAD that causes ischemia. This article reviews how to choose an appropriate test for the evaluation of cardiac ischemia in the inpatient setting, using case examples to illustrate the considerations involved.

住院评估心肌缺血时,我应该做哪些检查?
摘要检测心肌缺血或导致心肌缺血的阻塞性冠状动脉疾病(CAD)在住院病人中很常见。目前有许多检测方法可供选择。选择合适的检测方法具有挑战性,需要进行准确的风险分层。目前主要有两大类测试:压力测试(也称为功能测试)和解剖测试。压力测试专门评估心肌缺血,可在进行或不进行成像的情况下进行。解剖学检查可观察到导致缺血的阻塞性 CAD。本文回顾了如何在住院患者中选择合适的测试来评估心肌缺血,并通过病例来说明其中的注意事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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