Noninvasive testing in coronary artery disease. Selection of procedures and interpretation of results

Journal Article · Thu Sep 01 00:00:00 EDT 1983 · Postgrad. Med.; (United States)

OSTI ID:5394371

Sox, Jr, H C

In patients with acute chest pain, selection of diagnostic tests and admission to and discharge from the coronary care unit are critical decisions for which useful empirical guidelines are now available. In hospitalized patients, the serum level of the MB fraction of creatine kinase is particularly useful when the history strongly suggests infarction but the ECG is nondiagnostic. In patients with chronic chest pain, the gender of the patient and the character of the pain are the most important guides to selecting and interpreting exercise tests. In women and in men with nonanginal chest pain, the myocardial scintiscan is preferred to the exercise ECG because of its greater diagnostic accuracy. In men with atypical angina, the two tests are nearly equivalent, and the added cost of the scintiscan is a factor in test selection. Since nearly all men with typical angina have coronary artery disease, diagnostic tests are usually not needed.

• Research Organization: Division of General Internal Medicine, Stanford University School of Medicine, California
• OSTI ID: 5394371
• Journal Information: Postgrad. Med.; (United States), Vol. 74:3
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ELECTROCARDIOGRAMS
COMPARATIVE EVALUATIONS
HEART
SCINTISCANNING
PHOSPHOTRANSFERASES
BLOOD CHEMISTRY
CARDIOVASCULAR DISEASES
CORONARIES
CREATINE
EXERCISE
FEMALES
MALES
MYOCARDIAL INFARCTION
PATIENTS
AMINO ACIDS
ARTERIES
BLOOD VESSELS
BODY
CARBOXYLIC ACIDS
CARDIOVASCULAR SYSTEM
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
DIAGRAMS
DISEASES
ENZYMES
ORGANIC ACIDS
ORGANIC COMPOUNDS
ORGANS
PHOSPHORUS-GROUP TRANSFERASES
RADIOISOTOPE SCANNING
TRANSFERASES
550601* - Medicine- Unsealed Radionuclides in Diagnostics