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BMJ 2005;330:731 (26 March), doi:10.1136/bmj.330.7493.731
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EDITORThe recent review of advances in non-invasive cardiology by Prasad et al does not discuss echocardiography except briefly as an electronic addendum.1 A striking omission is three dimensional echocardiography, which has advantages over two dimensional echocardiography in assessing left ventricular volumes and synchrony and for congenital disease and mitral valve disease.2 Miniaturisation of machines now allows studies to be conducted anywhere,3 so that echocardiography is increasingly being adopted by non-cardiologists. Stress echocardiography has repeatedly been validated for the prediction of coronary stenoses and for stratifying risk and is gaining in use (cardiac workforce requirements in the UK, www.BCS.com).4 A fuller account of advances in echocardiography is available.5
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Credit: BULLETTE AND THEROUX/SPL
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No competition should occur between different imaging modalities, and the most appropriate option should be used for any particular clinical indication. Echocardiography will always remain essential for the investigation of acutely ill patients since it is
John Chambers, president
jboydchambers@aol.com, British Society of Echocardiography, London SW1P 1SB
Kevin Fox, president-elect
British Society of Echocardiography, London SW1P 1SB
Alan Fraser, president
European Association of Echocardiography, The European Heart House, 2035 Route des Colles, Les TempliersBP 179, 06903 Sophia-Antipolis Cedex, France
UK medical students have published unreleased government plans to restrict failed asylum seekers' access to medical care