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Ambulatory Electrocardiographic Monitoring to Detect Ischemic Heart Disease

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Department of Medicine, University of California, San Diego, California

Ann Intern Med. 1974;81(5):695-696. doi:10.7326/0003-4819-81-5-695
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During the past decade there has been increased interest in the early and accurate diagnosis of ischemic heart disease in subjects with and without a history suggestive of angina pectoris. The advent of selective coronary arteriography for clearly defining the anatomy of the coronary circulation and new forms of therapy, including coronary artery bypass operations, have contributed importantly to this renewed interest in the initial evaluation of patients with suspected coronary artery disease by electrocardiographic methods.

The exercise electrocardiogram (ECG) has been of considerable value in the assessment of patients with definite or suspected ischemic heart disease (1), but segmental


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