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Volume 2, No 1 - Winter 2001

Volume 2, No 1 - Winter 2001

Table of Contents

Arterial Stiffness: Clinical Relevance, Measurement, and Treatment Hypertension
Hardening of the pulse, first described thousands of years ago by Chinese healers, was known even then to be an adverse prognostic sign. In Western medicine, the association of aging, increased large-arterial stiffness, and systolic hypertension has been recognized for more than a century. Yet the adverse consequences of age-related arterial stiffening still receive little attention in everyday clinical practice, perhaps because clinicians assume that nothing can be done about the process. Recent developments, however, suggest that improved clinical recognition of age-related vascular stiffening will lead to better therapy and improved outcomes for patients with hypertension. [Rev Cardiovasc Med. 2001;2(1):29-40]
Risk Assessment of Patients with Known or Suspected CAD Using Stress Myocardial Perfusion SPECT, Part II Diagnostic Imaging
In this era of cost containment, each step of a testing protocol must be evaluated carefully for appropriateness and prognostic value. Exercise stress single-photon emission CT (SPECT) is finding a niche in the examination of patients with known or suspected coronary artery disease. When preceded by careful patient screening, stress SPECT, alone or combined with other testing, may prove to be a tool that is both cost-effective and clinically effective. [Rev Cardiovasc Med. 2001;2(1):41-47]
Acute Myocardial Infarction Following Recovery from a Normal Treadmill Exercise Test Stress Testing
Cardiologists today rely on stress testing to provide valuable diagnostic information about their patients. How and why can it cross the line to become a trigger for acute coronary events? Is patient selection important to avoid complications? Follow this patient through his stress test. [Rev Cardiovasc Med. 2000;2(1):48-57, 60]