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Imaging and Intervention in Cardiology pp 75–92Cite as

Imaging to justify no intervention

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Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 173))

Abstract

“Words, words, words, I’m so sick of words”, said Eliza Doolittle, which could well refer to the number of articles on the merits of testing by use of the electrocardiogram (rest, exercise and dynamic), Tl-201 and Tc-99m-MIBI perfusion scans, the rest and stress echocardiogram (transthoracic and transesophageal), arterial calcification etc., and reports on the various advantages of specific stress interventions (pacing, pharmacologic, psychologic) to uncover evidence of ischemia and other physiologic or anatomic abnormalities. A literature review gives the impression that initial reports are later superseded by newer reports claiming superiority in aspects such as diagnostic and prognostic evaluation, and shows that many “successful” testing options first enthusiastically reported, are later criticized, then abandoned or replaced by the latest “fashion” in diagnostics or risk stratification.

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Author information

Authors and Affiliations

  1. Department of Cardiology, University Hospital Eppendorf, Martinistrasse 52, D-20246, Hamburg, Germany

    Dr Christoph A. Nienaber

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  1. Dr Christoph A. Nienaber
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  2. Gunnar K. Lund
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Editors and Affiliations

  1. Department of Cardiology, University Hospital Eppendorf, Martinistrasse 52, D-20246, Hamburg, Germany

    Christoph A. Nienaber

  2. Klinik III für Innere Medizin, University of Cologne, Joseph-Stelzmannstrasse 9, D-50924, Cologne, Germany

    Udo Sechtem

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© 1996 Kluwer Academic Publishers

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Nienaber, C.A., Lund, G.K. (1996). Imaging to justify no intervention. In: Nienaber, C.A., Sechtem, U. (eds) Imaging and Intervention in Cardiology. Developments in Cardiovascular Medicine, vol 173. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0115-5_6

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  • DOI: https://doi.org/10.1007/978-94-009-0115-5_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6538-2

  • Online ISBN: 978-94-009-0115-5

  • eBook Packages: Springer Book Archive

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