The Value of Exercise Thallium Imaging
Authors: K. Michael Zabel
Journal: Annals of Internal Medicine (1994)

Editorials1 December 1994The Value of Exercise Thallium ImagingK. Michael Zabel, MD and Robert M. Califf, MDK. Michael Zabel, MDDuke University Medical Center, Durham, NC 27710.Search for more papers by this author and Robert M. Califf, MDDuke University Medical Center, Durham, NC 27710.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-11-199412010-00013 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Physicians can choose from among many diagnostic techniques to evaluate patients with known or suspected ischemic heart disease. The physician wishing to determine whether a patient who has symptoms consistent with angina has significant coronary artery stenosis can order a stress electrocardiogram, stress echocardiogram, radionuclide ventriculogram, coronary angiogram, or nuclear perfusion imaging test. Within this last category alone are dozens of variations, including isotope (thallium or sestamibi or teboroxime), acquisition method (planar or tomographic [single-photon emission computed tomography]), stressor (exercise or dobutamine or dipyridamole or adenosine), analysis technique (qualitative or quantitative), and many other technical variables (for example, the time ...References1. Morise AP, Detrano R, Bobbio M, Diamond GA. Development of validation of a logistic regression-derived algorithm for estimating the incremental probability of coronary artery disease before and after exercise testing. J Am Coll Cardiol. 1992; 20:1187-96. Google Scholar2. Kotler TS, Diamond GA. Exercise thallium-201 scintigraphy in the diagnosis and prognosis of coronary artery disease. Ann Intern Med. 1990; 113:684-702. Google Scholar3. DePasquale EE, Nody AC, DePuey EG, Garcia EV, Pilcher G, Bredlau C, et al. Quantitative rotational thallium-201 tomography for identifying and localizing coronary artery disease. Circulation. 1988; 77:316-27. Google Scholar4. Weiner DA, McCabe CH, Ryan TJ. Identification of patients with left main and three vessel coronary disease with clinical and exercise test variables. Am J Cardiol. 1980; 46:21-7. Google Scholar5. Ladenheim ML, Kotler TS, Pollock BH, Berman DS, Diamond GA. Incremental prognostic power of clinical history, exercise electrocardiography and myocardial perfusion scintigraphy in suspected coronary artery disease. Am J Cardiol. 1987; 59:270-7. Google Scholar6. Gibbons RJ, Zinsmeister AR, Miller TD, Clements IP. Supine exercise electrocardiography compared with exercise radionuclide angiography in noninvasive identification of severe coronary artery disease. Ann Intern Med. 1990; 112:743-9. Google Scholar7. Christian TF, Miller TD, Bailey KR, Gibbons RJ. Exercise tomographic thallium-201 imaging in patients with severe coronary artery disease and normal electrocardiograms. Ann Intern Med. 1994; 121:825-32. Google Scholar8. Fagan LF Jr, Shaw L, Kong BA, Caralis DG, Wiens RD, Chaitman BR. Prognostic value of exercise thallium scintigraphy in patients with good exercise tolerance and a normal or abnormal exercise electrocardiogram and suspected or confirmed coronary artery disease. Am J Cardiol. 1992; 69:607-11. Google Scholar9. Christian TF, Miller TD, Bailey KR, Gibbons RJ. Noninvasive identification of severe coronary artery disease using exercise tomographic thallium-210 imaging. Am J Cardiol. 1992; 70:14-20. Google Scholar Author, Article, and Disclosure InformationAffiliations: Duke University Medical Center, Durham, NC 27710.Corresponding Author: Robert M. Califf, MD, Department of Medicine, Division of Cardiology, Box 31123, Duke University Medical Center, Durham, NC 27710. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoExercise Tomographic Thallium-201 Imaging in Patients with Severe Coronary Artery Disease and Normal Electrocardiograms Timothy F. Christian , Todd D. Miller , Kent R. Bailey , and Raymond J. Gibbons Metrics Cited byCost Effective Evaluation of Chest Pain 1 December 1994Volume 121, Issue 11Page: 891-893 Issue Published: 1 December 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...