BMJ  2004;329:1386-1389 (11 December), doi:10.1136/bmj.329.7479.1386

Clinical review

Recent developments in non-invasive cardiology

Sanjay K Prasad, consultant cardiologist1, Ravi G Assomull, British Heart Foundation research fellow1, Dudley J Pennell, director1

1 Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London SW3 6NP

Correspondence to: S K Prasad s.prasad@rbh.nthames.nhs.uk

The first 150 words of the full text of this article appear below.

Introduction

Tremendous advances have been made in non-invasive cardiology, such as improved visualisation of the anatomy and function of the heart and better physiological markers of cardiac function and heart disease. These advances provide better diagnostic information and guide therapy and risk stratification. All the techniques give information over and above that derived from the clinical history and examination, but should be interpreted in the context of the clinical background. In this review, we discuss important developments in non-invasive cardiology, focusing on areas that have recently come into clinical use.

Sources and selection criteria

We searched PubMed for recent trials and systematic reviews on non-invasive cardiac imaging published between 2000 and July 2004. We also consulted recent international guidelines to develop an overview of the evidence base in non-invasive cardiology.

Cardiovascular magnetic resonance imaging

Cardiovascular magnetic resonance imaging has improved the detection of heart disease. Accurate diagnosis provides the basis of treatment options and of monitoring response to treatment. . . . [Full text of this article]

Infarction and viability
Coronary angiography
Myocardial perfusion imaging

X ray computed tomography in ischaemic heart disease

Nuclear cardiology

B natriuretic peptide in heart failure


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