Volume 114, Nº 2, February 2020
DOI: https://doi.org/10.36660/abc.20200087
UPDATE
Update of the Brazilian Guideline on Nuclear Cardiology – 2020
Luiz Eduardo Mastrocola
Barbara Juarez Amorim
João Vicente Vitola
Simone Cristina Soares Brandão
Gabriel Blacher Grossman
Ronaldo de Souza Leão Lima
Rafael Willain Lopes
William Azem Chalela
Lara Cristiane Terra Ferreira Carreira
José Roberto Nolasco de Araújo
Cláudio Tinoco Mesquita
José Claudio Meneghetti
Figure 20 – Concept of a rational strategy for evaluating and integrating modalities in a logical sequence of investigation of stable patients. It begins with the best rationalization for formulating diagnostic hypotheses (I), going on to the most basic tests (II), such as ECG/ET, ECHO, CS, continuing, as necessary, to more advanced non-invasive imaging methods (III), such as angio-CT, MPS, and CMR. The non-invasive tests, whether basic or advanced, should serve as “filters” for invasive testing, i.e. cardiac catheterization (IV), which should serve in planning advanced treatment only in patients under consideration for myocardial revascularization.234
