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Volume 354:871-873 February 23, 2006 Number 8
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Dyspnea and Stress Testing

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 by Abidov, A.
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To the Editor: The article by Abidov et al. (Nov. 3 issue)1 identifies a high-risk group of patients undergoing myocardial-perfusion single-photon-emission computed tomography (SPECT). These patients have dyspnea but are otherwise asymptomatic, and they have a higher mortality than those with typical angina. In this article the authors have not reported the indication for myocardial-perfusion testing. It is important to know why these patients were undergoing the tests in the absence of chest pain. Usually such patients are undergoing preoperative evaluations or may have rhythm problems. I fear we might be dealing with a group of patients who were undergoing . . . [Full Text of this Article]


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