Настоящая глава не охватывает все аспекты визуализирующих методик и не является рекомендациями, а скорее приводит некоторые практические примеры того, каким образом интегрировать различные методы визуализации в ведении пациентов. Задача каждого практикующего врача - разработка алгоритмов применения визуализирующих методов в ведении пациентов с различными ССЗ (например, разработка критериев целесообразности), но в то же время необходимо внимательно следить за потребностями конкретного больного. Кроме того, концепцию "рандомизированных контролируемых исследований" и "доказательной медицины" будет трудно применить к методам визуализации с учетом быстрого развития и постоянных изменений в этой области. Как можно в настоящее время обследовать пациента без ЭхоКГ? Судя по всему, надлежащая клиническая практика, основанная на мнении хорошо информированного врача, может стать руководством в выборе и интеграции методов визуализации в повседневной клинической работе.
Наконец, как уже несколько раз было упомянуто в этой главе, различные методы визуализации предоставляют сопоставимую информацию, поэтому доступность, опыт и знания на местах могут оказывать влияние на выбор метода исследования.
ДОПОЛНИТЕЛЬНАЯ ЛИТЕРАТУРА
Greenland P., Bonow R.O., Brundage B.H. et al. ACCF/AHA 2007 clinical expert consensus document on coronary artery calcium scoring by computed tomography in global cardiovascular risk assessment and in evaluation of patients with chest pain: a report of the American College of Cardiology Foundation Clinical Expert Consensus Task Force (ACCF/AHA Writing Committee to Update the 2000 Expert Consensus Document on Electron Beam Computed Tomography) developed in collaboration with the Society of Atherosclerosis Imaging and Prevention and the Society of Cardiovascular Computed Tomography // J. Am. Coll. Cardiol. - 2007. - Vol. 49. - P. 378-402.
Hendel R.C., Patel M.R., Kramer C.M. et al. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American College of Radiology, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions, and Society of Interventional Radiology // J. Am. Coll. Cardiol. - 2006. - Vol. 48. - P. 14751497.
Kirkpatrick J.N., Vannan M.A., Narula J. et al. Echocardiography in heart failure: applications, utility, and new horizons // J. Am. Coll. Cardiol. - 2007. - Vol. 50. - P. 381-396.
O’Hanlon R., Prasad S.K., Pennell D.J. Evaluation of nonischemic cardiomyopathies using cardiovascular magnetic resonance // J. Nucl. Cardiol. - 2008. - Vol. 15. - P. 400-416.
Schroeder S., Achenbach S., Bengel F. et al. Cardiac computed tomography: indications, applications, limitations, and training requirements: report of a Writing Group deployed by the Working Group Nuclear Cardiology and Cardiac CT of the European Society of Cardiology and the European Council of Nuclear Cardiology // Eur. Heart J. - 2008. - Vol. 29. - P. 531-556.
Ypenburg C., Westenberg J.J., Bleeker G.B. et al. Noninvasive imaging in cardiac resynchronization therapy - part 1: selection of patients // Pacing. Clin. Electrophysiol. - 2008. - Vol. 31. - P. 1475-1499.
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