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Non-invasive functional testing for possible myocardial ischaemia

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Non-invasive functional testing for myocardial ischaemia:

Use of non-invasive functional testing for myocardial ischaemia

  • when offering non-invasive functional imaging for myocardial ischaemia use:
    • myocardial perfusion scintigraphy with single photon emission computed tomography (MPS with SPECT) or
    • stress echocardiography or
    • first-pass contrast-enhanced magnetic resonance (MR) perfusion or
    • MR imaging for stress-induced wall motion abnormalities. Take account of locally available technology and expertise, the person and their preferences, and any contraindications when deciding on the imaging method
  • use adenosine, dipyridamole or dobutamine as stress agents for MPS with SPECT and adenosine or dipyridamole for first-pass contrast-enhanced MR perfusion
  • use exercise or dobutamine for stress echocardiography or MR imaging for stress-induced wall motion abnormalities
  • do not use MR coronary angiography for diagnosing stable angina
  • do not use exercise ECG to diagnose or exclude stable angina for people without known CAD

Reference:


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