Cardio Actualidad 2009 - Imagen Cardiaca

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Dr. Javier Bermejo Thomas
Congreso de las enfermedades cardiovasculares 2009 - Barcelona 24/10/2009

Published in: Health & Medicine
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Cardio Actualidad 2009 - Imagen Cardiaca

  1. 1. Imagen Cardiaca Javier Bermejo Hospital General Universitario Gregorio Marañón Madrid
  2. 2. <ul><li>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. </li></ul><ul><li>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. </li></ul><ul><li>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. </li></ul><ul><li>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. </li></ul><ul><li>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. </li></ul>
  3. 3. Eur J Echocardiogr 2009
  4. 4. Circulation 2009
  5. 5. Mullens Circulation 2009
  6. 6. Circulation 2009
  7. 7. Circulation 2009 n= 2042
  8. 8. Circulation 2009 n= 4217
  9. 9. Circulation & Eur Heart J 2009 n= 1036
  10. 10. JAMA 2009 2.5 Millones SNPs n= 5000 pts
  11. 11. Eur Heart J 2009
  12. 12. Caracterización Miocardio
  13. 13. Circulation 2009 n= 652
  14. 14. Eur Heart J 2009
  15. 15. SEC 2009
  16. 17. N Eng J Med 2008
  17. 18. N Eng J Med 2008
  18. 19. N Eng J Med 2008
  19. 20. JACC 2009 n= 368
  20. 21. N Eng J Med 2009 n= 952.420
  21. 22. N Eng J Med 2009
  22. 23. N Eng J Med 2009
  23. 24. PROTECT JAMA 2009
  24. 25. JAMA 2009
  25. 26. Young JAMA 2009
  26. 27. Conclusiones <ul><li>Riesgos por utilización y sobreutilización </li></ul><ul><li>Impacto definitivo en algunos procesos cardiovasculares por determinar </li></ul><ul><li>Las técnicas de imagen se consolidan como las herramientas para el diagnóstico y estratifiación de los pacientes con enf. cardiovasculares. </li></ul>
  27. 28. Circulation 2009
  28. 29. N= 107 desarrollo N= 107 validación Score= 2*Vmax + 1.5*lnBNP + 1.5(si mujer) Eur Heart J 2009
  29. 30. Circulation 2009 4.2 vs 8.5 mSV (p<0.001)
  30. 31. Eur Hear J 2009

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