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Shaun Robinson, Bushra Rana, David Oxborough, Rick Steeds, Mark Monaghan, Martin Stout, Keith Pearce, Allan Harkness, Liam Ring, Maria Paton, Waheed Akhtar, Radwa Bedair, Sanjeev Bhattacharyya, Katherine Collins, Cheryl Oxley, Julie Sandoval, Rebecca Schofield MBChB, Anjana Siva, Karen Parker, James Willis, and Daniel X Augustine

is crucial. However, variations in ECG timings can occur for a number of reasons, including using different ECG leads, electrical conduction defects and coronary artery disease ( 18 ). The 2015 ASE/EACVI chamber guidelines contain varying definitions

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Christopher Johnson, Katherine Kuyt, David Oxborough, and Martin Stout

:// ) 12 Hoit BD . Strain and strain rate echocardiography and coronary artery disease . Circulation: Cardiovascular Imaging 2011 4 . ( ) 13 Voigt JU Pedrizzetti G

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Rachel N Lord, Keith George, Helen Jones, John Somauroo, and David Oxborough

Vik-Mo H Torp H Angelsen B & Skjaerpe T 2000 Strain rate imaging by ultrasonography in the diagnosis of coronary artery disease . Journal of the American Society of Echocardiography 13 1053 – 1064 . doi:10.1067/mje.2000.106573 10

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Boyang Liu, Nicola C Edwards, Simon Ray, and Richard P Steeds

P Lebrun F Piérard LA 2003 Determinants of exercise-induced changes in mitral regurgitation in patients with coronary artery disease and left ventricular dysfunction . Journal of the American College of Cardiology 42 1921 – 1928

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Allan Harkness, Liam Ring, Daniel X Augustine, David Oxborough, Shaun Robinson, Vishal Sharma, and the Education Committee of the British Society of Echocardiography

function ( 25 ). NORRE excluded pregnant individuals from the study. Timing Timing of measurements is critical. ECG timings can vary with the lead used and is affected by conduction defects and coronary artery disease ( 26 ). The 2015 chamber

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Kuberan Pushparajah, Phuoc Duong, Sujeev Mathur, and Sonya V Babu-Narayan

and Somatom Definition Flash) for cardiac imaging in people with suspected or known coronary artery disease in whom imaging is difficult with earlier generation CT scanners . London, UK: NICE, 2017 . (available at: https

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Shaun Robinson, Liam Ring, Daniel X Augustine, Sushma Rekhraj, David Oxborough, Allan Harkness, Patrizio Lancellotti, and Bushra Rana

or MS, coexistent heart disease that may contribute to or account for symptoms should also be excluded. Assessment of coronary artery disease and regional wall motion abnormalities should be performed at peak stress while an assessment of diastolic