Controversies in Diagnostic Imaging of Patients With Suspected Stable and Acute Chest Pain Syndromes

Research output: Contribution to journalArticle

Leslee J. Shaw, Ron Blankstein, David L. Brown, Sanket S. Dhruva, Pamela S. Douglas, Tessa S.S. Genders, Raymond J. Gibbons, John P. Greenwood, Raymond Kwong, Jonathon Leipsic, John J. Mahmarian, David Maron, Eike Nagel, Ed Nicol, Koen Nieman, Patricia A. Pellikka, Rita F. Redberg, Jonathan Weir-McCall, Michelle C. Williams, Y. Chandrasekhar

There has been a tremendous growth quantity of high-quality imaging evidence in the area of acute and stable ischemic heart disease (SIHD). A number of recent comparative effectiveness trials have spurned significant controversies in the field of cardiovascular imaging. The result of this evidence is that many health care policies and national guidelines have undergone significant revisions. With all of this evidence, many challenges remain and the optimal evaluation strategy for evaluation of patients presenting with chest pain remains ill-defined. This paper enlisted the guidance of numerous experts in the field of cardiovascular imaging to garner their perspective on available imaging research in chest pain syndromes. Each of these vignettes represent editorial perspectives and diverse opinions as to which, if any, should be the primary test in the evaluation of stable chest pain. These perspectives are not meant to be all inclusive but to highlight many of the commonly discussed controversies in the evaluation of chest pain symptoms. These perspectives are presented as a pre-amble to an upcoming American College of Cardiology/American Heart Association clinical practice guideline that is undergoing revision from the previous report published in 2012. The evidence has changed considerably since the 2012 SIHD guideline, and the current perspectives represent the diversity of available evidence as to the optimal imaging strategy for evaluation of the symptomatic patient.

Original languageEnglish (US)
Pages (from-to)1254-1278
Number of pages25
JournalJACC: Cardiovascular Imaging
Volume12
Issue number7
DOIs
StatePublished - Jul 1 2019

PMID: 31272608

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Controversies in Diagnostic Imaging of Patients With Suspected Stable and Acute Chest Pain Syndromes. / Shaw, Leslee J.; Blankstein, Ron; Brown, David L.; Dhruva, Sanket S.; Douglas, Pamela S.; Genders, Tessa S.S.; Gibbons, Raymond J.; Greenwood, John P.; Kwong, Raymond; Leipsic, Jonathon; Mahmarian, John J.; Maron, David; Nagel, Eike; Nicol, Ed; Nieman, Koen; Pellikka, Patricia A.; Redberg, Rita F.; Weir-McCall, Jonathan; Williams, Michelle C.; Chandrasekhar, Y.

In: JACC: Cardiovascular Imaging, Vol. 12, No. 7, 01.07.2019, p. 1254-1278.

Research output: Contribution to journalArticle

Harvard

Shaw, LJ, Blankstein, R, Brown, DL, Dhruva, SS, Douglas, PS, Genders, TSS, Gibbons, RJ, Greenwood, JP, Kwong, R, Leipsic, J, Mahmarian, JJ, Maron, D, Nagel, E, Nicol, E, Nieman, K, Pellikka, PA, Redberg, RF, Weir-McCall, J, Williams, MC & Chandrasekhar, Y 2019, 'Controversies in Diagnostic Imaging of Patients With Suspected Stable and Acute Chest Pain Syndromes' JACC: Cardiovascular Imaging, vol. 12, no. 7, pp. 1254-1278. https://doi.org/10.1016/j.jcmg.2019.05.009

APA

Shaw, L. J., Blankstein, R., Brown, D. L., Dhruva, S. S., Douglas, P. S., Genders, T. S. S., ... Chandrasekhar, Y. (2019). Controversies in Diagnostic Imaging of Patients With Suspected Stable and Acute Chest Pain Syndromes. JACC: Cardiovascular Imaging, 12(7), 1254-1278. https://doi.org/10.1016/j.jcmg.2019.05.009

Vancouver

Shaw LJ, Blankstein R, Brown DL, Dhruva SS, Douglas PS, Genders TSS et al. Controversies in Diagnostic Imaging of Patients With Suspected Stable and Acute Chest Pain Syndromes. JACC: Cardiovascular Imaging. 2019 Jul 1;12(7):1254-1278. https://doi.org/10.1016/j.jcmg.2019.05.009

Author

Shaw, Leslee J. ; Blankstein, Ron ; Brown, David L. ; Dhruva, Sanket S. ; Douglas, Pamela S. ; Genders, Tessa S.S. ; Gibbons, Raymond J. ; Greenwood, John P. ; Kwong, Raymond ; Leipsic, Jonathon ; Mahmarian, John J. ; Maron, David ; Nagel, Eike ; Nicol, Ed ; Nieman, Koen ; Pellikka, Patricia A. ; Redberg, Rita F. ; Weir-McCall, Jonathan ; Williams, Michelle C. ; Chandrasekhar, Y. / Controversies in Diagnostic Imaging of Patients With Suspected Stable and Acute Chest Pain Syndromes. In: JACC: Cardiovascular Imaging. 2019 ; Vol. 12, No. 7. pp. 1254-1278.

BibTeX

@article{b1794d1a0fe94dcda42628e41175fa56,
title = "Controversies in Diagnostic Imaging of Patients With Suspected Stable and Acute Chest Pain Syndromes",
abstract = "There has been a tremendous growth quantity of high-quality imaging evidence in the area of acute and stable ischemic heart disease (SIHD). A number of recent comparative effectiveness trials have spurned significant controversies in the field of cardiovascular imaging. The result of this evidence is that many health care policies and national guidelines have undergone significant revisions. With all of this evidence, many challenges remain and the optimal evaluation strategy for evaluation of patients presenting with chest pain remains ill-defined. This paper enlisted the guidance of numerous experts in the field of cardiovascular imaging to garner their perspective on available imaging research in chest pain syndromes. Each of these vignettes represent editorial perspectives and diverse opinions as to which, if any, should be the primary test in the evaluation of stable chest pain. These perspectives are not meant to be all inclusive but to highlight many of the commonly discussed controversies in the evaluation of chest pain symptoms. These perspectives are presented as a pre-amble to an upcoming American College of Cardiology/American Heart Association clinical practice guideline that is undergoing revision from the previous report published in 2012. The evidence has changed considerably since the 2012 SIHD guideline, and the current perspectives represent the diversity of available evidence as to the optimal imaging strategy for evaluation of the symptomatic patient.",
keywords = "anatomy, chest pain, functional testing, imaging",
author = "Shaw, {Leslee J.} and Ron Blankstein and Brown, {David L.} and Dhruva, {Sanket S.} and Douglas, {Pamela S.} and Genders, {Tessa S.S.} and Gibbons, {Raymond J.} and Greenwood, {John P.} and Raymond Kwong and Jonathon Leipsic and Mahmarian, {John J.} and David Maron and Eike Nagel and Ed Nicol and Koen Nieman and Pellikka, {Patricia A.} and Redberg, {Rita F.} and Jonathan Weir-McCall and Williams, {Michelle C.} and Y. Chandrasekhar",
year = "2019",
month = "7",
day = "1",
doi = "10.1016/j.jcmg.2019.05.009",
language = "English (US)",
volume = "12",
pages = "1254--1278",
journal = "JACC: Cardiovascular Imaging",
issn = "1936-878X",
publisher = "Elsevier",
number = "7",

}

RIS

TY - JOUR

T1 - Controversies in Diagnostic Imaging of Patients With Suspected Stable and Acute Chest Pain Syndromes

AU - Shaw, Leslee J.

AU - Blankstein, Ron

AU - Brown, David L.

AU - Dhruva, Sanket S.

AU - Douglas, Pamela S.

AU - Genders, Tessa S.S.

AU - Gibbons, Raymond J.

AU - Greenwood, John P.

AU - Kwong, Raymond

AU - Leipsic, Jonathon

AU - Mahmarian, John J.

AU - Maron, David

AU - Nagel, Eike

AU - Nicol, Ed

AU - Nieman, Koen

AU - Pellikka, Patricia A.

AU - Redberg, Rita F.

AU - Weir-McCall, Jonathan

AU - Williams, Michelle C.

AU - Chandrasekhar, Y.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - There has been a tremendous growth quantity of high-quality imaging evidence in the area of acute and stable ischemic heart disease (SIHD). A number of recent comparative effectiveness trials have spurned significant controversies in the field of cardiovascular imaging. The result of this evidence is that many health care policies and national guidelines have undergone significant revisions. With all of this evidence, many challenges remain and the optimal evaluation strategy for evaluation of patients presenting with chest pain remains ill-defined. This paper enlisted the guidance of numerous experts in the field of cardiovascular imaging to garner their perspective on available imaging research in chest pain syndromes. Each of these vignettes represent editorial perspectives and diverse opinions as to which, if any, should be the primary test in the evaluation of stable chest pain. These perspectives are not meant to be all inclusive but to highlight many of the commonly discussed controversies in the evaluation of chest pain symptoms. These perspectives are presented as a pre-amble to an upcoming American College of Cardiology/American Heart Association clinical practice guideline that is undergoing revision from the previous report published in 2012. The evidence has changed considerably since the 2012 SIHD guideline, and the current perspectives represent the diversity of available evidence as to the optimal imaging strategy for evaluation of the symptomatic patient.

AB - There has been a tremendous growth quantity of high-quality imaging evidence in the area of acute and stable ischemic heart disease (SIHD). A number of recent comparative effectiveness trials have spurned significant controversies in the field of cardiovascular imaging. The result of this evidence is that many health care policies and national guidelines have undergone significant revisions. With all of this evidence, many challenges remain and the optimal evaluation strategy for evaluation of patients presenting with chest pain remains ill-defined. This paper enlisted the guidance of numerous experts in the field of cardiovascular imaging to garner their perspective on available imaging research in chest pain syndromes. Each of these vignettes represent editorial perspectives and diverse opinions as to which, if any, should be the primary test in the evaluation of stable chest pain. These perspectives are not meant to be all inclusive but to highlight many of the commonly discussed controversies in the evaluation of chest pain symptoms. These perspectives are presented as a pre-amble to an upcoming American College of Cardiology/American Heart Association clinical practice guideline that is undergoing revision from the previous report published in 2012. The evidence has changed considerably since the 2012 SIHD guideline, and the current perspectives represent the diversity of available evidence as to the optimal imaging strategy for evaluation of the symptomatic patient.

KW - anatomy

KW - chest pain

KW - functional testing

KW - imaging

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UR - http://www.scopus.com/inward/citedby.url?scp=85067458617&partnerID=8YFLogxK

U2 - 10.1016/j.jcmg.2019.05.009

DO - 10.1016/j.jcmg.2019.05.009

M3 - Article

VL - 12

SP - 1254

EP - 1278

JO - JACC: Cardiovascular Imaging

T2 - JACC: Cardiovascular Imaging

JF - JACC: Cardiovascular Imaging

SN - 1936-878X

IS - 7

ER -

ID: 49917751