Nicht invasive Ischämiediagnostik – wie ist der Stand seit den ESC-Leitlinien 2013?

Abstract Coronary artery disease continues to be the leading cause of death in developed countries. As coronary atherosclerosis worsens, luminal narrowing caused by coronary plaque mass may result in haemodynamic obstruction and subsequently, angina pectoris symptoms may occur. To avoid redundant invasive procedures and minimize its complications, noninvasive imaging is often performed for an initial assessment of patients with suspected coronary artery disease, serving as a gatekeeper for invasive coronary angiography. The diagnostic accuracy and prognostic value of these strategies have been confirmed in many…