| Stress testing for coronary artery disease in the elderly. | |
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MedLine Citation:
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PMID: 8653653 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The elderly constitute an increasing percentage of patients evaluated and treated for coronary artery disease. Clinical and noninvasive evaluation are important in both the diagnosis and prognosis of coronary disease in the elderly, and stress testing is an important part of that evaluation. For older individuals capable of vigorous treadmill or cycle exercise, the exercise electrocardiogram, either alone or combined with radionuclide or echocardiographic imaging, remains an excellent diagnostic and prognostic tool. For the large percentage of elderly patients unable to perform adequate exercise, pharmacologic stress testing with dipyridamole, adenosine, or dobutamine is a valuable alternative. The clinician's challenge is to choose the most appropriate cardiac stress test for his or her patient from among the many alternatives available. Future studies comparing the accuracy and cost-to-benefit ratio of various stress tests with regard to the elderly will help achieve this goal. |
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Authors:
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S P Schulman; J L Fleg |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Clinics in geriatric medicine Volume: 12 ISSN: 0749-0690 ISO Abbreviation: Clin. Geriatr. Med. Publication Date: 1996 Feb |
Date Detail:
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Created Date: 1996-07-31 Completed Date: 1996-07-31 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8603766 Medline TA: Clin Geriatr Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 101-19 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Coronary Disease / diagnosis*, radionuclide imaging Echocardiography Exercise Test* / methods, utilization Female Humans Male Sensitivity and Specificity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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