# The role of cardiac imaging in the post-ISCHEMIA world

**Authors:** Julia Niemierko, Ed Nicol, Jonathan R Weir-McCall

PMC · DOI: 10.1093/bjr/tqaf085 · 2025-04-24

## TL;DR

This paper reviews how cardiac imaging is used to diagnose stable chest pain, focusing on insights from the ISCHEMIA trial.

## Contribution

It provides a synthesis of the ISCHEMIA trial's impact on the role of anatomical and functional imaging in stable chest pain.

## Key findings

- The ISCHEMIA trial redefined the use of anatomical and functional imaging in stable chest pain.
- Non-invasive imaging has gained stronger evidence for diagnosing stable chest pain.
- The paper contextualizes the ISCHEMIA trial within broader literature on cardiac imaging.

## Abstract

The last decade has seen a significant expansion of the evidence supporting the use of non-invasive imaging in the diagnosis of stable chest pain. The most significant of these was the ISCHEMIA trial which redefined the role of anatomical and functional imaging. The current paper examines this trial in the context of the wider literature, to bring together a review of the role of imaging in the patient with stable chest pain.

## Full-text entities

- **Diseases:** ISCHEMIA (MESH:D007511), chest pain (MESH:D002637)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12199363/full.md

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Source: https://tomesphere.com/paper/PMC12199363