Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1987-2-25
pubmed:abstractText
Physicians' ordering patterns and subjective assessments of the management impact of 345 exercise thallium studies at a tertiary care hospital were evaluated. Exercise thallium tests were ordered to obtain functional information (60%), to detect myocardial ischemia (29%), for routine follow-up (6%) and for screening for coronary artery disease (CAD) (5%). Exercise thallium testing was ordered instead of exercise electrocardiography alone because of an interest in assessing the size of an ischemic or infarcted area (37%), a belief that the exercise electrocardiogram was likely to be nondiagnostic (35%) or that exercise thallium was a better test (23%). In 20% of cases physicians said that thallium imaging results were helpful or pivotal in major management decisions, such as those regarding catheterization or surgery. In most cases, no further tests were ordered and antianginal therapy or activity prescription was changed after exercise thallium testing. Exercise thallium images also helped to stratify patients into low and high probability of CAD categories better than exercise electrocardiographic results alone did. Our data suggest that physicians are using exercise thallium testing to obtain functional information more often than simply to detect CAD and that physicians consider the test to be of considerable value.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0002-9149
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
59
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
50-5
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1987
pubmed:articleTitle
Exercise thallium scans: patterns of use and impact on management of patients with known or suspected coronary artery disease.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't