L. Larry Gladstone, MD
To the editors: In the article by Gibbons and colleagues (1) on the noninvasive identification of severe coronary artery disease, the conclusion that "the modest additional advantage provided by exercise radionuclide angiography for identification of three vessel or left main coronary artery disease in patients with normal resting ECGs would not appear to justify its routine use for this purpose," while interesting, misses a fundamental point from the patient's perspective.
Of the 93 patients in the study who had proven left main or three vessel coronary atherosclerosis, routine supine stress testing detected 56 with
L. Larry Gladstone. Diagnosis of Coronary Artery Disease. Ann Intern Med. 1990;113:410–411. doi: 10.7326/0003-4819-113-5-410_2
Download citation file:
Published: Ann Intern Med. 1990;113(5):410-411.
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use