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  • Title: Should simultaneous exercise become the standard for adenosine myocardial perfusion imaging?
    Author: Thomas GS, Miyamoto MI.
    Journal: Am J Cardiol; 2004 Jul 22; 94(2A):3D-10D; discussion 10D-11D. PubMed ID: 15261124.
    Abstract:
    Concomitant low-level treadmill exercise with adenosine pharmacologic stress (AdenoEx) during radionuclide myocardial perfusion imaging has become commonly used in recent years, particularly in large-volume laboratories. A number of studies have demonstrated a beneficial impact of AdenoEx protocols. These benefits include decreased side effects, improved safety and patient tolerance, improved target-to-background ratios because of less subdiaphragmatic activity, and improved sensitivity and defect reversibility. In light of these benefits, recent reviews and guidelines call for the addition of low-level exercise to adenosine stress whenever possible.
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