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Stress Echocardiography - Its Role in the Diagnosis and Evaluation of Coronary Artery Disease (Paperback, Softcover reprint of the original 1st ed. 1994)
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Stress Echocardiography - Its Role in the Diagnosis and Evaluation of Coronary Artery Disease (Paperback, Softcover reprint of the original 1st ed. 1994)
Series: Developments in Cardiovascular Medicine, 149
Expected to ship within 10 - 15 working days
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W. F. ARMSTRONG While stress echocardiography is not the first
technique to be applied to patients for the diagnosis of coronary
artery disease, it represents an impor tant clinical tool, likely
to become of increasing pertinence in today's era of cost
containment and mandated cost-effectiveness of diagnosis. It may be
the most rapidly expanding area of clinical echocardiography today.
Stress echocardiography as we know it today represents the natural
con clusion and merger of observations made over fifty years ago.
In 1935 Tenn ant and Wiggers demonstrated that the immediate result
of a coronary oc clusion, was an instantaneous abnormality of wall
motion [1]. As viewed from the surface of the heart in an open
chest dog preparation, cyanosis and obvious paradoxical bulging of
the left ventricular wall was noted. At a similar time Masters and
co-workers, using fairly rudimentary exercise de vices, described
the response of the human cardiovascular system to sustained
exercise (Figure 1) [2]. These two observations diverged for four
decades while clinical investigation was pursued along the two
parallel lines.
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