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Cardiovascular disease (CVD) remains the
leading cause of death in most developed
countries, claiming almost one million lives
in the U.S. in 2000. According to the American
Heart Association, annual costs of diagnosis
and treatment of CVD will exceed $403 billion
in the U.S. in 20061. Although
improved understanding of the effects of
diet, lifestyle, weight, smoking, and other
factors have reduced early mortality, the
majority of the population will develop
some form of CVD during their lifetime.
In 2003, CVD was the primary cause of hospitalization
in the U.S. and the primary diagnosis for
6.8 million in-hospital patients2.
Cardiovascular diseases, such as atherosclerosis,
hypertension, and ischemia may cause permanent
damage to the heart and blood vessels, leading
to chronic heart failure, angina, or myocardial
infarction (heart attack). For a patient
with cardiovascular disease, primary diagnosis
and treatment are performed via interventional
cardiology in a cardiac catheterization
lab. Cardiac catheterization is the insertion
of small tubes (catheters) through arteries
and/or veins to the heart. Contrast agent
is injected through the catheter in order
to visualize coronary arteries and cardiac
chambers with real-time x-ray imaging. The
contrast agent is opaque to x-rays, and
provides good image contrast as it flows
into the coronary artery system or the cardiac
chambers. This procedure produces an image
referred to as an angiogram, which is the
gold standard for diagnosing cardiovascular
disease.

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1 American Heart Association,
Heart disease and stroke – 2006 Update
2 American Heart Association,
Heart disease and stroke – 2006 Update
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