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The diagnosis and management of coronary artery disease is the topic of this presentation from UPMC’s Update in Internal Medicine 2010: Evidence-Based Approaches to Common Medical Problems.

Educational Objectives:

  • Identify the current state of the art in terms of CT scanning for coronary disease and cardiac MR
  • Recognize the current state and value of cardiac catheterization
  • Apply the differential indications for cardiac catheterization, CT coronary angio, and cardiac MR

Reading Resources:

  1. Burrggraf GW, and Parker JO. Prognosis in Coronary Artery Disease.  Angiographic, Hemodynamic, and Clinical Factors. Circulation. 1975; 51:145-156.
  2. Boden WE, O'Rourke RA, Teo KK, Hartigan PM, Maron DJ, Kostuk WJ, Knudtson M, Dada M,  Casperson P,  Harris CL, Chaitman BR,  Shaw L, Gosselin G,  Nawaz S,  Title LM, Gau G,  Blaustein AS, Booth DC, Bates ER, Spertus JA, Berman DS,  Mancini GBJ, and  Weintraub WS, for the COURAGE Trial Research Group. Optimal Medical Therapy with or without PCI for Stable Coronary Disease N Engl J Med. 2007; 356: 1503-1516.
  3. Falk E, Shah PK, Fuster V. Coronary Plaque Disruption. Circulation 1995; 92:657-671.
  4. Zir LM. Circulation. 1976;53:627-632.
  5. Bech, GJW, De Bruyne B, Pijls NHJ, de Muinck E, Hoorntje J, Escaned J, Stella PR, Boersma E, Bartunek J, Koolen J, Wijns W. Fractional Flow Reserve to Determine the Appropriateness of Angioplasty in Moderate Coronary Stenosis: A Randomized Trial. Circulation. 2001; 103:2928-2934.
  6. Brenner DJ, Hall EJ. Computed Tomography — An Increasing Source of Radiation Exposure. N  Engl J Med 2007;357:2277-2284. 
  7. Tonino PAL, De Bruyne B, Pijls NHJ, Siebert U, Ikeno F, van `t Veer M, Klauss V,  Manoharan G, Engstrøm T,  Oldroyd KG,  Ver Lee PN, MacCarthy PA, and  Fearon WF, for the FAME Study Investigators. Fractional Flow Reserve versus Angiography for Guiding Percutaneous Coronary Intervention.  N Engl J Med . 2009; 360:213-224.

Faculty Disclosure:

Dr. Lee has no relevant relationships with any entities producing health care goods or services.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this educational activity for a maximum of .75 AMA PRA Category 1 CreditsTM. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.075) continuing education units (CEU) which are equivalent to .75 contact hours.

Release Date 5/25/2012 | Review Date 5/25/2012 | Expiration Date 5/24/2013

This course has been expired.