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June 4th, 2004, 21:49
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Join Date: 2001
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New Humility Urged for Heart Disease in Women
This article from the May 1, 2004 issue of Family Practice News reports on a presentation given at the 2004 American College of Cardiology Meeting by the President of the ACC. According to Dr. carl J. Pepine, "Viewing ischemic chest pain in women with [angiographically] normal arteries as a benign disease in women is wishful thinking, in my opinion." COMMENT: Dr. Pepine makes a strong case for the argument that myocardial perfusion imaging is the gold standard, not angiography. Angiography simply identifies if there is obstructive disease that can be revascularized. Perfusion imaging maps total blood flow (including the small collateral arteries). It appears that when the perfusion scan is abnormal, but the angiogram is normal, then we should NOT say the the perfusion scan was a false-positive.
REF: May 1, 2004 Family Practice News p.59
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