Document Detail


Evaluation of coronary artery disease in women.
MedLine Citation:
PMID:  8879957     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Diagnostic techniques have been refined to improve the accuracy of coronary artery disease detection in women compared to that achieved by clinical assessment and stress electrocardiography alone. Noninvasive cardiac imaging with 99mTc myocardial perfusion agents improves the specificity of coronary artery disease diagnosis over that achieved with 201Tl imaging, particularly when this technique is combined with ECG-gated image analysis. Improvements in diagnostic accuracy should enhance physician confidence in the use of noninvasive diagnostic testing in women. Combined clinical and noninvase imaging assessment can define those women at very high and very low risk for future cardiac events, permitting physicians to direct appropriate patients to aggressive treatment (ie, coronary revascularization) to improve outcomes. The reduction in unneccessary coronary cardiac catheterization accomplished by improved specificity, and the accurate determination of cardiac risk, provides for the most cost-efficient use of medical resources in the female population with known or suspected coronary artery disease.
Authors:
D D Miller
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  11     ISSN:  0268-4705     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1997-01-17     Completed Date:  1997-01-17     Revised Date:  2006-05-04    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  447-53     Citation Subset:  IM    
Affiliation:
Saint Louis University Health Sciences Center, School of Medicine, MO 63110-0250, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Disease* / diagnosis,  epidemiology,  therapy
Echocardiography
Electrocardiography
Female
Heart / radionuclide imaging
Humans
Middle Aged
Prognosis
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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