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Correspondence
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Volume 335:820-821 September 12, 1996 Number 11
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Chest Pain in Women

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 by Douglas, P. S.
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To the Editor: In their review of coronary artery disease in women, Douglas and Ginsburg (May 16 issue)1 define major, intermediate, and minor determinants of coronary artery disease. They define a high-risk group (with a pretest probability of disease of more than 80 percent) that comprises women with two or more major determinants (typical angina, postmenopausal status without hormone replacement, diabetes mellitus, or peripheral vascular disease) or one major determinant and more than one intermediate or minor determinant. The authors recommend for this group an exercise-tolerance test as the initial test. If the result is positive or inconclusive, they recommend . . . [Full Text of this Article]

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