Show Summary Details
Page of

Diagnosis and assessment of cardiac disease 

Diagnosis and assessment of cardiac disease
Diagnosis and assessment of cardiac disease

Silvana F. Marasco

and Martin G. Hiscock

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 19 October 2020

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.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.