Dobutamine stress echocardiography for assessment of perioperative cardiac risk in patients undergoing major vascular surgery.

Poldermans, Don; Fioretti, P.; Forster, Tamás; Thomson, Ian R.; Boersma, Eric; El-Said, E. S. M.; Bois, N.A.J.J. du; Roelandt, Jos R.T.C.; Urk, Hero van

doi:10.1161/01.cir.87.5.1506

Cited by 277 publications

(93 citation statements)

References 41 publications

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“…The initial study of POLDERMANS et al [22], of 136 patients submitted to vascular surgery, demonstrated that the contractility alterations induced by SED were associated with a high risk of pre-operative events (heart death), nonfatal infarction and unstable angina. The positive predictive value of the test was 42% and the negative predictive value was 100%.…”

Section: Prognostic Value Of Stress Echocardiography Evoked By Dobutamentioning

confidence: 99%

<![CDATA[<b>Stress echocardiography in coronary artery disease</b>]]>

Oliveira¹,

Barreto²,

Silva³

et al. 2004

Braz. j. cardiovasc. surg.

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Doppler echocardiography is a simple, fast and noninvasive method to identify abnormal regional or global left ventricular function. One could consider this non-invasive method to be the best approach of all imaging techniques.Stress echocardiography techniques are used for the diagnosis, risk stratification, prognosis and the study of myocardial viability in ischemic heart disease. There are many ways of subjecting the heart to stress for echocardiographic studies. For physically fit patients exercise stress testing using a treadmill or bicycle is employed and patients who are unable to exercise undergo pharmacological tests.Although accurate diagnosis and a high prognostic value are achieved with both methods, there are new techniques under study, including the utilization of echocardiographic microbubble contrast for endocardial edge evaluation and for myocardial perfusion studies. Descriptors: Stress. Echocardiography. Coronary disease.Resumo A ecodopplercardiografia é uma metodologia simples, rápida e não invasiva para identificar anormalidades regional e global da função do ventrículo esquerdo, podendo ser considerado o método não invasivo de maior aplicabilidade dentro das técnicas de imagem.A ecocardiografia sob estresse é utilizada para diagnóstico, estratificação de risco, prognóstico e avaliação da viabilidade miocárdica na doença arterial coronariana. Várias são as formas de se submeter o coração ao estresse para o estudo ecocardiográfico. Para indivíduos com capacidade física preservada, utiliza-se o teste com esteira ou bicicleta e para aqueles sem condições de se exercitar, são usados os testes farmacológicos.Apesar da boa acurácia diagnóstica e do valor prognóstico com os dois métodos já referidos, novas técnicas vêm sendo estudadas, como a utilização do contraste ecocardiográfico com microbolhas para avaliação das bordas do endocárdio e o estudo da perfusão miocárdica.Descritores: Estresse. Ecocardiografia. Coronariopatia. 56OLIVEIRA, JLM ET AL -Stress echocardiography in coronary artery disease Rev

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Section: Prognostic Value Of Stress Echocardiography Evoked By Dobutamentioning

confidence: 99%

<![CDATA[<b>Stress echocardiography in coronary artery disease</b>]]>

Oliveira¹,

Barreto²,

Silva³

et al. 2004

Braz. j. cardiovasc. surg.

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show abstract

“…These include exercise electrocardiogram testing (626,627,655), ambulatory electrocardiogram monitoring (656,657), measurement of left ventricular ejection fraction (658,659), magnetic resonance imaging (660), exercise or dipyridamole single-photon emission computed tomography (SPECT) (658,661), positron emission tomography (PET) (662), electron beam computed tomography (663)(664)(665)(666)(667)(668) and thallium/sestamibi scintigraphy (with exercise or dipyridamole) (669-674) echocardiography (with exercise or dobutamine) (675,676). Few studies have assessed exercise electrocardiogram testing in patients with ESRD.…”

Section: Cardiovascular Diseasementioning

confidence: 99%

“…Dobutamine echocardiography has shown promise as a screening test for coronary artery disease in a number of investigations of non-ESRD patients (675,676) and ESRD patients being considered for renal transplantation (698)(699)(700)(701).…”

Section: Cardiovascular Diseasementioning

confidence: 99%

The Evaluation of the Renal Transplant Candidates: Clinical Practice Guidelines

2001

American Journal of Transplantation

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“…When the technical quality of the transthoracic stress echocardiography is limited, the transesophageal method with stress may replace it, giving important information about patients with triartery involvement 22 . The normal test has a negative predictive value of 93% to 100% and segmental contraction abnormalities have a positive predictive value of 7% to 50% and may be considered as risk factors for peri and postoperative cardiac events 23 . Abnormal contractions in three or more segments of ischemics different regions indicate patients at high risk for peri or postoperative cardiac events.…”

Section: Non-invasive and Semi-invasive Cardiologic Testsmentioning

confidence: 99%