Title : Comparison of invasive evaluation and pharmacological treatment in patients with mild ischemia detected on myocardial perfusion imaging SPECT
Abstract:
Myocardial perfusion imaging (MPI) with single-photon emission computed tomography (SPECT) is the most commonly used and well-documented noninvasive method for diagnosis and risk stratification of coronary artery disease (CAD). The location and extent of ischemia can be reliably and semiquantitatively obtained using MPI, which plays an important role for patient management. The management of patients with mild ischemia detected on myocardial perfusion imaging (MPI) using single photon emission computed tomography (SPECT) remains a subject of debate in the field of cardiology. The decision between invasive evaluation (e.g., coronary angiography with potential revascularization) and pharmacological treatment (e.g., anti-anginal drugs, statins) is complex and must be guided by both clinical and imaging findings. This study aims to compare the outcomes of invasive strategies versus pharmacological treatment in patients with mild ischemia as reported on SPECT MPI. The results highlight the nuanced benefits and limitations of each approach, emphasizing the need for personalized treatment decisions.
Keywords: Invasive Evaluation, Pharmacological Treatment, Mild Ischemia, MPI SPECT.
