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Coronary Anomalies

Exercise Physiology for the Pediatric and Congenital Cardiologist, Page: 179-185
2019
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Book Chapter Description

The pediatric and congenital cardiologist may encounter a variety of congenital and acquired coronary artery anomalies. Exercise testing, in combination with stress-imaging modalities, can be of value in the assessment of some of these patients. However, the pathophysiology of the myocardial ischemia that results from these lesions may differ from that encountered in typical adult-type coronary artery disease and clinical experience with these rare disorders is limited. Consequently, the ability of exercise testing to accurately identify myocardial ischemia in pediatric patients is currently imperfect. The limitations of this technology must be recognized and appreciated.

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