Whether the traditional stenosis-centered approach remains sufficient for risk stratification and clinical decision-making is explored and how contemporary imaging modalities, coronary physiology, and artificial intelligence contribute to a more comprehensive assessment of coronary atherosclerosis is discussed.
MI with non-obstructive coronary arteries (MINOCA) represents a complex, heterogeneous syndrome with variable underlying mechanisms and substantial morbidity. The role of multimodality cardiovascular imaging in clarifying etiology and guiding therapy continues to evolve. Multimodality imaging offers insights into the p...
G. Díaz, J. Ossi, Mariana Garcia· US cardiology· 0 citations
Coronary computed tomography angiography (CCTA) has profoundly changed the diagnostic approach to patients with suspected coronary artery disease (CAD). Originally developed as a non-invasive technique for identifying or ruling out obstructive coronary stenoses, CCTA has progressively evolved into an imaging modality c...
M. De Michele, Carlo Tedeschi, C. Liguori et al.· Journal of Clinical Medicine· 0 citations
Chronic coronary syndromes frequently occur in the absence of flow-limiting epicardial stenosis. Coronary microvascular dysfunction (CMD) is a key mechanism underlying angina with non-obstructive coronary arteries, yet its relationship with epicardial atherosclerosis remains incompletely understood. Emerging evid...
Y. Ding, R. Heok, P. Kamila et al.· European Heart Journal· 0 citations
Background: Coronary artery disease remains the leading cause of morbidity and mortality worldwide. Increasing evidence has demonstrated that many acute coronary events originate not from severely obstructive lesions but from structurally unstable atherosclerotic plaques. Consequently, the identification of vulnerable...
A. Nedelcu, Emil Anton, Ancuța Lupu et al.· Medical Science· 0 citations
Cardiac computed tomography (CT) has progressed from a non-invasive test primarily used to exclude obstructive coronary artery disease into a comprehensive cardiovascular imaging platform for coronary artery disease, myocardial disease, valvular heart disease, and structural heart disease. Coronary CT angiography (CCTA...
S. Oda, M. Iima, Masahiro Yanagawa et al.· Diagnostic and Interventiona...· 0 citations
Precision diagnosis of coronary artery disease (CAD) requires the integration of multidimensional data, including coronary anatomy and physiological function, for a comprehensive evaluation. This article reviews recent advances in multimodal computed tomography (CT) technologies for diagnosing CAD, analyzing their comp...
Xiaolei Diao, Wen-Jie Cai, Xian-Ting Luo et al.· Cardiovascular Reviews· 0 citations
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