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Occlusive CAD
Diagnostic Equipment
Test Accuracy Cost Risk Time Advantages Limitations
Conventional Invasive, expensive, high risk, and
98% Highest High 8 hrs Clinical standard for CAD
Angiogram time consuming
The only accurate, fast, and non‐
CARDx ECD invasive technology for early detection of Only available for 3D localization of
90~94% Medium Low None 10 min CAD, ischemia, microvascular the approximate ischemic area(s) of
(12‐lead CCG)
dysfunction, & differentiating heart involved coronary arteries
dsyfunctions
High calcium score
A useful way of screening for CAD
Sensitivity 91~99% Motion artifact
64-Slice CCTA High Moderate 60 min Safer and faster than conventional Allergic reaction due to IV contrast
Specificity 64~91%
angiogram injection
Kidney diseases or severe diabetes
Stress Some risk with exercise
S i i i 8
Sensitivity %
80~90% M
Most accurate ffor ejection
j i ffraction
i
Thallium High Moderate 4 hrs Requires IV radio‐isotope injection
Specificity 70~75%
SPECT Best for ischemia detection Expensive
Evaluates wall motion & heart under
Only 80% accurate
stress
80% (27% false 30~40 min
Stress Echo‐
positive if Medium Moderate (technically Non‐invasive Risk of AMI
cardiogram
hypertensive) demanding)
Good for measuring valvular ejection Must be ischemic to show
fraction and left ventricular function abnormalities
Best for valvular, congenital, and wall
Only 75% accurate for CAD, good
Echo‐ motion
75% Medium Low None 15 min images cannot be obtained in 5~15% of
cardiogram Non‐invasive
patients
No risks
Detects perfusion deficit Not recommended if abnormal EKG
Stress ECG 50~70% Low Moderate 30~40 min Only 42% accurate on women; 33%
Non‐invasive
false positives, 25% false negatives
Low accuracy, not always specific,
Inexpensive
insensitive to ischemia
ECG 40~50% Lowest None 10 min No risk Not always specific
Fast Insensitive to ischemia
Non-invasive
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