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Previous Volume 344:1840-1845 June 14, 2001 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 58-year-old woman presents with chest discomfort while walking that is suggestive of coronary disease. She first noted the discomfort after beginning an exercise program three weeks earlier. The pain occurs within a few minutes after the beginning of exercise and resolves with rest. The physical examination and electrocardiogram are unremarkable. How should this patient be evaluated?

The Clinical Problem

In patients with known or . . . [Full Text of this Article]

Strategies and Evidence

Exercise Electrocardiography

            Characteristics

            Summary of Data

Radionuclide Imaging

            Characteristics

            Summary of Data

Stress Echocardiography

            Characteristics

            Summary of Data

Comparative Studies

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From Partners Community HealthCare (T.H.L.), Brigham and Women's Hospital (T.H.L.), and Massachusetts General Hospital (C.A.B.) — all in Boston.

Address reprint requests to Dr. Lee at Partners HealthCare System, Prudential Tower, 11th Fl., 800 Boylston St., Boston, MA 02199, or at thlee@partners.org.

References

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