On the basis of a selected review of the published literature, comparable CAD event rates (rate of CAD death or MI of ∼5%/year) for patients with SIHD who have moderate-severe ischemia can be identified for those undergoing stress nuclear imaging, echocardiography, or CMR.
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De concreto, temos que 3 ou mais seguimentos ao Ecostresse funcionam como bons marcadores de risco.
https://doi.org/10.1016/j.echo.2023.09.006
Although GLS has been associated with improved diagnostic accuracy in patients with obstructive CAD, our study may suggest that in INOCA, GLS is (1) largely normal, (2) not correlated with inducible ischemia, and (3) not predictive of Stres Echo findings.
In this cohort of INOCA patients, resting GLS values were largely normal and did not associate with the presence, severity, or location of stress-induced ischemia. These findings may suggest the absence of subclinical myocardial dysfunction detectable by echocardiographic strain analysis at rest in INOCA
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Algumas linhas de pesquisas com camadas miocárdicas ao Strain apontavam diferenças no subendocárdio ao repouso.
Mas não evoluiram para o uso ao repouso e predição de isquemia
O GLS puro e amplo não revelava isquemia de repouso em casos leves.
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