Imagen Cardiaca

Javier BermejoHospital General Universitario Gregorio MarañónMadrid

• Hendel RC, Berman DS, Di Carli MF, et al. ACCF/ASNC/ACR/AHA/ASE/SCCT/SCMR/SNM 2009 appropriate use criteria for cardiac radionuclide imaging: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the American Society of Nuclear Cardiology, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society of Nuclear Medicine: endorsed by the American College of Emergency Physicians. Circulation. 2009;119:e561-587.

• Sicari R, Nihoyannopoulos P, Evangelista A, et al. Stress Echocardiography Expert Consensus Statement--Executive Summary: European Association of Echocardiography (EAE) (a registered branch of the ESC). Eur Heart J. 2009;30:278-289.• Senior R, Becher H, Monaghan M, et al. Contrast echocardiography: evidence-based recommendations by European Association of Echocardiography. Eur J Echocardiogr. 2009;10:194-212.•Baumgartner H, Hung J, Bermejo J, et al. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. Eur J Echocardiogr. 2009;10:1-25.• Nagueh SF, Appleton CP, Gillebert TC, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. Eur J Echocardiogr. 2009;10:165-193.

Eur J Echocardiogr 2009

Circulation 2009

Mullens Circulation 2009

Circulation 2009

Circulation 2009

n= 2042

Circulation 2009

n= 4217

Circulation & Eur Heart J 2009

n= 1036

JAMA 2009

2.5 Millones SNPsn= 5000 pts

Eur Heart J 2009

CaracterizaciónMiocardio

Circulation 2009

n= 652

Eur Heart J 2009

SEC 2009

N Eng J Med 2008

N Eng J Med 2008

N Eng J Med 2008

JACC 2009

n= 368

N Eng J Med 2009

n= 952.420

N Eng J Med 2009

N Eng J Med 2009

PROTECT

JAMA 2009

JAMA 2009

Young JAMA 2009

Conclusiones

• Riesgos por utilización y sobreutilización

• Impacto definitivo en algunos procesos cardiovasculares por determinar

• Las técnicas de imagen se consolidan como las herramientas para el diagnóstico y estratifiación de los pacientes con enf. cardiovasculares.