By Joseph S. Alpert (auth.), Joseph S. Alpert MD (eds.)

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VII b"",11 b.. V11 - 1 II, ,11000 rh~t1ra l'Io .. ring 1'01111 I IlIlI! I (I Tfilii I 4 Ell{ I ROC flRI>IO( ,1~fll'lIl( DIM ,NO .. I .. ld ~ Jnd b sit direct! ,I ... 12 'ordiallead QR 28 Cardiology for the Primary Care Physician I( intermediate likelihood of CAD are the best candidates for exercise stress testing. Women and patients who are receiving digoxin, who have L VH, or who have resting ECG abnormalities have a higher incidence of false-positive ECG stress tests and may require adjunctive noninvasive imaging for the accurate assessment of CAD.

Medicine 1978, 57:357-370. 8. : Coronary artery disease in peripheral vascular patients. Ann Surg 1984,199:223-233. 9. : Applicability and interpretation of electrocardiographic stress testing in patients with peripheral vascular disease. Am] Surg 1981,141:501-506. 10. : Routine preoperative exercise testing in patients undergoing major noncardiac surgery. Am] Cardiol1985, 56:51-58. 11. ] Vasc Surg 1988, 7:60-68. 12. : Cardiac prognosis in noncardiac geriatric surgery. Ann Intern Med 1985, 103:832-837.

FDG is a marker of regional exogenous glucose uptake. Areas that have reduced perfusion but normal or increased glucose uptake indicate viable tissue. Because of the limited availability of cyclotrons for production of tracers and the cost of PET equipment, it is unlikely that PET scanning will become a widespread and standard technique for the evaluation of CAD. However, it is now feasible to image FDG with a modified SPECT camera, making metabolic imaging more available for clinical use [22].

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