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Volume 343:968-969 September 28, 2000 Number 13
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Use of Right Precordial Leads during Exercise Testing

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 by Michaelides, A. P.
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To the Editor: Michaelides et al. (Feb. 4, 1999, issue)1 reported that the use of right precordial leads has the same diagnostic accuracy as thallium-201 scintigraphy during exercise testing for the detection of coronary artery disease. We evaluated 900 consecutive patients (514 men and 386 women) with a mean age of 64 years (range, 39 to 84) who were referred to a tertiary care, hospital-based laboratory for the evaluation of chest pain or dyspnea. Of these 900 patients, 740 underwent treadmill exercise testing and 160 underwent pharmacologic stress testing. We excluded patients whose electrocardiograms at rest had abnormalities known to . . . [Full Text of this Article]

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