This consensus document provides comprehensive recommendations from North American and European imaging societies on the use of multimodality imaging for the diagnosis and risk stratification of acute myocardial infarction and acute coronary syndromes.
Offers interim expert consensus on imaging in AMI/ACS; leaves open optimal strategies pending outcome-focused RCTs.
There are a number of imaging tests that are used in the setting of acute myocardial infarction and acute coronary syndrome. Each has their strengths and limitations. Experts from the European Society of Cardiac Radiology and the North American Society for Cardiovascular Imaging together with other prominent imagers reviewed the literature. It is clear that there is a definite role for imaging in these patients. While comparative accuracy, convenience and cost have largely guided test decisions in the past, the introduction of newer tests is being held to a higher standard which compares patient outcomes. Multicenter randomized comparative effectiveness trials with outcome measures are required.
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Stillman et al. (2010) studied this question.
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