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Cardiac Imaging: ECHO: doppler detects pressure gradients, bubble study used to diagnose shunts, transesophageal echo used to detect atrial thrombus, valvular vegetations. Stress echo used to detect induced wall motion abnormalities in ischemic disease. NUCLEAR: detects ischemia, viability. ANGIOGRAPHY: widely used, especially in acutely symptomatic patients. CT/MRI roles poorly defined. First Aid for the Family Medicine Boards d    (retrieved Feb, 2014). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.