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
Gladstone LL. Diagnosis of Coronary Artery Disease. Ann Intern Med. ;113:410–411. doi: 10.7326/0003-4819-113-5-410_2
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Published: Ann Intern Med. 1990;113(5):410-411.
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