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European Heart Journal 1996 17(Supplement G):53-58; doi:10.1093/eurheartj/17.suppl_G.53
Copyright © 1996 by the European Society of Cardiology.
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© 1996 1996 The European Society of Cardiology

Diagnostic procedures for myocardial ischaemia

S. O. Gottlieb

Midatlantic Cardiovascular Associates Baltimore, Maryland, U.S.A.

Correspondence: Dr Sidney O. Gottlieb, Midatlantic Cardiovascular Associates, GBMC Pavillion, Suite 600, 6569 North Charles Street, Baltimore, MA 21204, U.S.A.

It is important to detect the problem of ischaemic heart disease at a manageable stage at which treatments could have beneficial effects. A positive exercise test in patients with known ischaemic heart disease is a risk factor for cardiac mortality and there is a need to devise treatment strategies that take into account different approaches to higher- and lower-risk patients with ischaemic heart disease. In patients with stable angina pectoris, ST-segment depression on continuous ambulatory ECG monitoring is a reliable method of assessing ischaemic events in patients going about their normal daily activities. However, at the present time both of these assessment methods should only be considered for screening individuals already suspected of being at high risk of cardiovascular morbidity and mortality. (Eur Heart J 1996; 17 (Suppl G): 53–58

Key Words: Ischaemic heart disease • exercise testing • continuous ambulatory ECG monitoring


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