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Potential of Carotid Ultrasonography in Dx of Coronary Art Dis Comparison with Exercise Test & ECG
Stroke 29:439-446, Nowak,J.,et al, 1998
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Article Abstract
Coronary angiography revealed the presence of CAD(>/=50%luminal stenosis in 1or more major epicardial arteries)in 147 patients(80%).Identification of carotid plaques on one or both sides and calculation of the left-sided (but not right-sided)CCA IM area provided a significant discrimination(P<. 001 and P<.01 respectively)of patients with CAD.The discriminating capacity of the ultrasound procedures was equal to that of variance ECG and exercise test with ST depression criterion only but somewhat lower than that of exercise test with the combined chest pain and ST depression criterion(P<.05).However,at the chosen cuts points,carotid plaque identification offered higher sensitivity than exercise test with either criterion(P<.01 and P<.001,respectively).Carotid ultrasonography is a useful diagnostic method that is comparable to exercise test and variance ECG for detection of CAD in a high-prevalence population.
 
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carotid artery atherosclerosis
carotid artery disease
carotid artery disease,noninvasive evaluation of
coronary artery disease
duplex ultrasound
electrocardiogram,abnormal
exercise electrocardiography
ultrasonography
ultrasonography,carotid artery

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