Article: The Best Approach to Women with Chest Pain.

The Best Approach to Women with Chest Pain

abstract & commentary

Synopsis: In women with stable chest pain consistent with angina pectoris, stress myocardial perfusion imaging followed by coronary angiography in selected patients is more cost effective in the near term than a cardiac catheterization first strategy.

Source: Shaw LJ, et al. J Nucl Cardiol 1999;6:559-569.

Because of perceived diagnostic inaccuracies with various forms of stress testing for coronary artery disease (CAD) in women, there has been interest in the direct coronary angiography approach. However, this approach has high initial costs. Thus, Shaw and colleagues ...

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