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Diagnosis and assessment of cardiac disease 

Diagnosis and assessment of cardiac disease
Chapter:
Diagnosis and assessment of cardiac disease
Author(s):

Silvana F. Marasco

and Martin G. Hiscock

DOI:
10.1093/med/9780199653478.003.0007
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date: 19 October 2019

The two most common surgically correctable cardiac pathologies are coronary artery disease (CAD) and aortic stenosis. Any suspicion of CAD in a stable patient, should be investigated with stress echocardiography or thallium-persantin scanning. If positive, coronary angiography will assess the extent of CAD. Treatment options include: medical management; percutaneous coronary intervention; coronary artery bypass graft surgery. Current evidence supports surgical revascularization in all anatomical subsets of CAD except for single- or double-vessel disease not involving the proximal left anterior descending artery. Myocardial viability is extremely important in coronary revascularization. Severe aortic stenosis should always be referred for surgical repair unless there is a contraindication.

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