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J Am Coll Cardiol, 2007; 49:1901, doi:10.1016/j.jacc.2007.02.030 (Published online 20 April 2007).
© 2007 by the American College of Cardiology Foundation
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CORRESPONDENCE: LETTER TO THE EDITOR

Reply

Thierry H. Le Jemtel, MD*, Margherita Padeletti, MD and Sanja Jelic, MD

* Tulane University School of Medicine, Department of Medicine, Section of Cardiology, 1430 Tulane Avenue, SL-48, New Orleans, Louisiana 70112-2699 (Email: lejemtel{at}tulane.edu).


We appreciate the interest of Drs. Ntim and Hundley for our recent study (1) and agree with their helpful comments. We did not mention cardiovascular magnetic resonance (CMR) as an alternative imaging approach in patients with a technically inadequate echocardiographic study because CMR is not as readily available to cardiologists as is radionuclide ventriculography. When readily available and not contraindicated, CMR can certainly provide the needed information.


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1. Le Jemtel TH, Padeletti M, Jelic S. Diagnostic and therapeutic challenges in patients with coexistent chronic obstructive pulmonary disease and chronic heart failure J Am Coll Cardiol 2007;49:171-180.[Abstract/Free Full Text]





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