PT - JOURNAL ARTICLE AU - Ricardo Ronderos AU - Ernesto E. Salcedo AU - John R. Kramer AU - Conrad C. Simpfendorfer AU - Earl K. Shirey TI - Value and limitations of two-dimensional echocardiography for the detection of left main coronary artery disease DP - 1984 Mar 20 TA - Cleveland Clinic Journal of Medicine PG - 7--12 VI - 51 IP - 1 4099 - http://www.ccjm.org/content/51/1/7.short 4100 - http://www.ccjm.org/content/51/1/7.full SO - Cleve Clin J Med1984 Mar 20; 51 AB - To evaluate the sensitivity and specificity of two-dimensional echocardiography for the detection of left main coronary artery disease, echocardiograms were obtained of 47 patients (38 men and 9 women) with the use of a Hewlett-Packard phase array system. Coronary arteriograms were also obtained. Three falsepositive results compared with 28 true-positive cases resulted in a specificity of 90% for two-dimensional echocardiography; 3 patients had normal echocardiograms in the presence of significant angiographic lumen narrowing. Since 9 patients had left main trunk disease, sensitivity was 67%. Our findings suggest that twodimensional echocardiography is somewhat limited in permitting visualization of left main coronary artery disease.