Chest ACCP Career Connection
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Campbell, R. W.
Right arrow Articles by Tavel, M. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Campbell, R. W.
Right arrow Articles by Tavel, M. E.

Chest, Vol 88, 287-291, Copyright © 1985 by American College of Chest Physicians

ARTICLES

Strategy for the detection and management of coronary artery disease. "Physiology before anatomy"

RW Campbell and ME Tavel

A strategy for the diagnosis of ischemic heart disease should be based on knowledge of the prevalence of the disease in population subgroups. Asymptomatic patients should not be routinely screened. Asymptomatic patients or patients with nonanginal chest pain should have both a positive exercise electrocardiogram and stress nuclear scan before a diagnosis of ischemic heart disease is justified or arteriography is recommended. Patients with atypical angina should be evaluated with exercise radionuclide ventriculography. Coronary arteriography is rarely needed for diagnosis and is most properly used as a preoperative evaluation of a patient who has symptoms uncontrolled by medical management, or in whom a significant amount of myocardium is at risk as determined by physiologic testing with exercise electrocardiography or stress nuclear techniques.




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1985 by the American College of Chest Physicians.