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Cardiac imaging training in the United Kingdom—time for a New Dawn
  1. R Rajani1,
  2. D Berman2,
  3. R Underwood1
  1. 1Department of Cardiology, Royal Brompton Hospital, London, UK
  2. 2Department of Cardiac Imaging and Nuclear Cardiology, Cedars Sinai Medical Centre, USA
  1. Correspondence to Dr Ronak Rajani, BCS/ACC Advanced Cardiac Imaging Fellow, Royal Brompton Hospital, Lambeth Palace Road, London SW3 6NP, UK; dr.r.rajani{at}gmail.com

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To the Editor: There is a growing need for cardiologists with an interest in multi-modality cardiac imaging. The new NICE guidelines for the assessment and diagnosis of patients with chest pain of recent onset place emphasis on coronary computed tomography (CT) for the evaluation of patients with an estimated likelihood of coronary disease between 10% and 29% and functional testing with myocardial perfusion stress imaging with SPECT, stress echocardiography and magnetic resonance (MR) perfusion imaging for patients with a likelihood of coronary disease from 30–60%. This is a significant change in the paradigm of current practice in which exercise stress testing features heavily and is accessible to all. Placing this expanded application of stress imaging alongside the increasing need for imaging as an adjunct to rapidly evolving percutaneous valvular technologies, electrophysiological techniques, increasing demand for the assessment of hibernation …

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