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- W4236973556 abstract "Letters1 June 1995Incremental Value of Thallium-201 ImagingTimothy F. Christian and Raymond J. GibbonsTimothy F. ChristianVictoria Hospital, London, Ontario N6A 4G5, Canada. Veterans Administration Medical Center, Decatur, GA 30033. Long Island Jewish Medical Center, New Hyde Park, NY 11042. Mayo Clinic, Rochester, MN 55905.Search for more papers by this author and Raymond J. GibbonsVictoria Hospital, London, Ontario N6A 4G5, Canada. Veterans Administration Medical Center, Decatur, GA 30033. Long Island Jewish Medical Center, New Hyde Park, NY 11042. Mayo Clinic, Rochester, MN 55905.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-122-11-199506010-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Hurwitz would like the scope of our study to be broader. Our study was designed to address a specific issue—the identification of three-vessel or left-main disease in patients with a normal resting electrocardiogram who had exercise testing. This particular scenario in exercise electrocardiography can be expected to be at its best (yielding interpretable ST segments in the setting of severe disease), whereas thallium-201 scintigraphy is not (a relative perfusion technique where abnormalities in all three territories occur in less than one third of patients with three-vessel disease) [1]. We agree that there are many other useful applications ...References1. Christian TF, Miller TD, Bailey KR, Gibbons RJ. Noninvasive identification of severe coronary artery disease using exercise tomographic thallium-201 imaging. Am J Cardiol. 1992; 70:14-20. Google Scholar2. Christian TF, Miller TD, Bailey KR, Gibbons RJ. Exercise tomographic thallium-201 imaging in patients with severe coronary artery disease and normal electrocardiograms. Ann Intern Med. 1994; 121:825-32. Google Scholar3. Rozanski A, Diamond GA, Berman D, Forrester US, Morris D, Swan HJ. The declining specificity of exercise radionuclide ventriculography. N Engl J Med. 1985; 308:518-22. Google Scholar Author, Article, and Disclosure InformationAffiliations: Victoria Hospital, London, Ontario N6A 4G5, Canada. Veterans Administration Medical Center, Decatur, GA 30033. Long Island Jewish Medical Center, New Hyde Park, NY 11042. Mayo Clinic, Rochester, MN 55905. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1995Volume 122, Issue 11Page: 881-883KeywordsAngiographyElectrocardiographyExerciseHealth careInstitutional review boardsPatientsRadionuclide imagingRevascularizationSpecificityThallium ePublished: 15 August 2000 Issue Published: 1 June 1995 Copyright & PermissionsCopyright © 1995 by American College of Physicians. All Rights Reserved.PDF downloadLoading ..." @default.
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