JAMA:
Dr Gould, what is your perspective on the future of cardiology?
Gould:
I think that cardiology, as a field, will move into a completely new era of diagnosis and treatment of coronary heart disease. Cardiologists classically have been fairly conservative. We do the basic physiological studies. We treat myocardial infarctions conservatively. Typically, we have treated only the complications but haven't intervened to terminate the basic pathology or the basic event. I foresee a revolution in (1) the early diagnosis and cure of coronary artery disease and (2) the aggressive therapy and reversal of acute myocardial infarction.
JAMA:
What is the future for the new generation of such diagnostic studies as the noninvasive assessment of coronary occlusion using positron-emission computed tomography?
Gould:
The positron imaging technique allows us not only to diagnose noninvasively early coronary disease or the flow effects of coronary disease, but also to analyze the metabolism of
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