Ecoestresse discordante do Cateterismo pode muito bem ser concordante com a verdadeira anatomia.

Coronary Artery Disease
Assessment of Coronary Artery Stenosis by Coronary Angiography
A Head-to-Head Comparison With Pathological Coronary Artery Anatomy.
.AQUI LIVRE.

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Between July 2004 and December 2011, 97 patients underwent CCA within 15 days before heart transplantation in Fuwai hospital. A head-to-head comparison study was performed to examine the diagnostic accuracy of CCA as compared with that of pathological coronary artery anatomy.
Per-segment evaluation found CCA was more accurate for detecting ≥50% and ≥75% stenosis in proximal and middle segments than in distal segments, and the diagnosis ability decreased in more severe stenosis segments and more complex lesions.
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Conclusions—The accuracy of CCA is quite high in detecting coronary artery stenosis in patients- and vessels-based levels. However, the diagnosis ability decreased in more severe and complex lesions, especially for distal segments.
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Estudo inteligente e bem executado mostra que o Cateterismo é muito fraco como método para afastar isquemia. Muitos ecostresses positivos que foram confrontados com cateterismos “normais” podem ter até 50% de chance de ser uma lesão distal mal avaliada pelo exame de coronariografia.

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