Combination of Invasive and Non-Invasive Vascular Examinations: Usefulness from the Preemptive Aspect

• Published in: Journal of Atherosclerosis and Thrombosis Vol. 22; no. 10; pp. 1027 - 1029
• Main Authors: Takaya, Tomofumi, Ishida, Tatsuro
• Format: Journal Article
• Language: English
• Published: Japan Japan Atherosclerosis Society 01.01.2015
• Subjects: Ankle Brachial Index - methods; Coronary Artery Disease - diagnosis; Coronary Circulation - physiology; Coronary Vessels - physiopathology; Female; Humans; Male; Pulse Wave Analysis - methods; Regional Blood Flow - physiology; Tomography, Emission-Computed, Single-Photon - methods
• ISSN: 1340-3478; 1880-3873
• DOI: 10.5551/jat.ED023

[See article vol. 22 : 1040 - 1050] There is growing recognition that lifestyle-related diseases, including dyslipidemia, type 2 diabetes, hypertension, visceral obesity, are alarmingly large public health concerns, because they are now the major causes of atherosclerotic cardiovascular diseases (ASCVDs) and premature death worldwide. Early detection of atherosclerotic lesions is arguably important not only in symptomatic but also high-risk patients. Toward this end, an accurate, simple, and non-invasive method for screening vascular lesions or functions is required urgently. In the evaluation of ASCVDs, the meaning of "non-invasive" examination is sometimes ambiguous and depends on the situation. Cardiac catheterization has generally been considered as an invasive examination, and then how about computed tomographic coronary angiography (CTCA) and single photon emission computed tomography (SPECT) are ? The frequency of major complications, containing fatal ones, is much lower in CTCA and SPECT than that in cardiac catheterization.