Imaging to justify no intervention

  • Christoph A. Nienaber
  • Gunnar K. Lund
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 173)


“Words, words, words, I’m so sick of words”, said Eliza Doolittle, which could well refer to the number of articles on the merits of testing by use of the electrocardiogram (rest, exercise and dynamic), Tl-201 and Tc-99m-MIBI perfusion scans, the rest and stress echocardiogram (transthoracic and transesophageal), arterial calcification etc., and reports on the various advantages of specific stress interventions (pacing, pharmacologic, psychologic) to uncover evidence of ischemia and other physiologic or anatomic abnormalities. A literature review gives the impression that initial reports are later superseded by newer reports claiming superiority in aspects such as diagnostic and prognostic evaluation, and shows that many “successful” testing options first enthusiastically reported, are later criticized, then abandoned or replaced by the latest “fashion” in diagnostics or risk stratification.


Coronary Artery Disease Coronary Flow Reserve Significant Coronary Artery Disease Coronary Artery Lesion Left Circumflex Coronary Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Christoph A. Nienaber
    • 1
  • Gunnar K. Lund
  1. 1.Department of CardiologyUniversity Hospital EppendorfHamburgGermany

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