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July 29, 2023
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VIDEO: ‘There is a role for both’ anatomical, functional testing in cardiac diagnosis

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Key takeaways:

  • Anatomical and functional testing both have a role in evaluating patients with chest pain and/or suspected heart disease.
  • Functional testing can detect some conditions that anatomical testing cannot.

ARLINGTON, Texas — In this Healio video exclusive, Healio | Cardiology Today Editorial Board Member Erin D. Michos, MD, MHS, FACC, FAHA, FASE, FASPC, discusses how anatomical and functional testing both have a role in cardiac diagnosis.

Michos, who is associate professor of medicine and director of women’s cardiovascular health research at Johns Hopkins Medicine, participated in a symposium at the American Society for Preventive Cardiology Congress on CVD Prevention in which she made the case for functional testing and a colleague made the case for anatomical testing.

The use of anatomical testing has increased in recent years, but “there is a role for both anatomical testing and functional testing depending on the question,” Michos said. She said functional testing can be used to identify who needs more aggressive medical therapy and to pinpoint conditions like ischemia with nonobstructive coronary arteries (INOCA), which do not show up on anatomical tests.

Watch the video for more.

Reference:

  • Michos ED. The great debate: The best strategy for chest pain evaluation in 2023. Presented at: Imaging MasterClass at the American Society for Preventive Cardiology Congress on CVD Prevention; July 20, 2023; Arlington, Texas.