Stress echocardiography for the detection and assessment of coronary artery disease

Fine, Nowell M.; Pellikka, Patricia A.

doi:10.1007/s12350-011-9365-0

Cited by 8 publications

(3 citation statements)

References 185 publications

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“…An in‐depth comparison among these modalities is beyond the scope of this review. In adult studies, stress echocardiography has displayed similar sensitivities/specificities in detecting significant coronary ischemia when compared with both MPI and CMR . The benefits of stress echocardiography are it is: readily available, portable, and relatively cheap.…”

Section: Comparison With Other Modalitiesmentioning

confidence: 99%

“…In adult studies, stress echocardiography has displayed similar sensitivities/specificities in detecting significant coronary ischemia when compared with both MPI and CMR. 13 The benefits of stress echocardiography are it is: readily available, portable, and relatively cheap. It can be performed without sedation or radiation exposure.…”

Section: Ap P L I Ca Ti Ons I N S P E Ci F I C Po P U L a Ti O Nsmentioning

confidence: 99%

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Stress echocardiography: An overview for use in pediatric and congenital cardiology

Ermis

2017

Congenital Heart Disease

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Currently, the role of stress echocardiography primarily resides in diagnosing acquired coronary artery disease (CAD) in adults. Besides an increasing concern for traditional CAD in young patients due to obesity and other chronic pediatric diseases, there is also a growing population of adolescents and young adults with "at risk" coronary arteries due to: reimplanted coronaries in congenital heart disease, anomalous origin of the native coronary arteries, coronary abnormalities in Kawasaki's disease, and posttransplant coronary vasculopathy. Stress echocardiography is well suited for routine screening and monitoring in these patients. Also, due to the ability of stress echocardiography to provide real-time cardiac imaging, it is useful in areas beyond coronary ischemia. Utilizing Doppler derived velocities and pressure gradients, one is able to further evaluate and risk-stratify patients with valvular heart disease. In addition, stress echocardiography is useful in evaluating other areas including ventricular and coronary reserve. The benefits of stress echocardiography are it is: readily available, portable, and relatively cheap. It can be performed without sedation or radiation exposure which becomes very important in younger patients that require periodic monitoring. Stress echocardiography can also evaluate functional abnormalities instead of relative perfusion defects. Overall, stress echocardiography is currently an underutilized imaging modality that has a wide, and expanding, range of application in the practice of pediatric and congenital cardiology.

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Section: Comparison With Other Modalitiesmentioning

confidence: 99%

Section: Ap P L I Ca Ti Ons I N S P E Ci F I C Po P U L a Ti O Nsmentioning

confidence: 99%

Stress echocardiography: An overview for use in pediatric and congenital cardiology

Ermis

2017

Congenital Heart Disease

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“…Dobutamine is the drug most widely used, although adenosine and dipyridamole are also commonly adopted. Physical exercise is the ideal stressor, being able also to provide information about symptoms, exercise capacity, and hemodynamic response to exertion [ 17 , 39 ]. Exercise stress echocardiography (ESE) is most commonly performed on the treadmill, using similar protocols adopted for exercise ECG, or with a bicycle in either upright or supine position.…”

Section: Introductionmentioning

confidence: 99%

Semi-supine Exercise Stress Echocardiography in Children and Adolescents: Feasibility and Safety

et al. 2014

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Although exercise stress echocardiography (ESE) is a well-validated technique in adult population, its use in children is quite limited. We aimed to assess the feasibility, the safety and the reproducibility of ESE, using on-line scanning in semi-supine cyclo-ergometer protocol in a large pediatric population. Between July 2008 and January 2013, 42 patients (mean age 14 ± 3) were evaluated with a bicycle ESE performing 50 studies. ESE was successfully performed and well tolerated by all patients. None of the patients presented with adverse effects of stress-induced ischemia. HR was 82 ± 13 at rest, and 153 ± 19.1 during peak exercise. Among 544 views analyzed for grading of image quality, the visualization was optimal in 473 (87 %), suboptimal in 39, and inadequate in 32 (6 %). 37 tests were performed in patients with congenital or acquired coronary abnormality. Regional wall motion abnormalities (RWMA) were revealed in nine cases (24 %). The agreement between the two different observers showed a K index of 0.7276 (95 % CI 0.6497–0.8055) for the image quality and a K index of 0.5125 (95 % CI 0.4782–0.5468) for the RWMA analysis. Among ten patients with hypertrophic cardiomyopathy, we were able to demonstrate the new comparison of significant left ventricular outflow tract gradient (≥30 mmHg) during exercise in three patients (30 %). Bicycle stress echocardiography performed by on-line scanning during exercise is a feasible, safe, and reproducible modality in children. Further data to assess its diagnostic accuracy are, however, needed. Stress echocardiography provides a dynamic assessment of the myocardial structure and function under conditions of physiologic or pharmacologic stress.

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Toro¹,

Zamorano²

2015

Stress Echocardiography

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Stress echocardiography for the detection and assessment of coronary artery disease

Cited by 8 publications

References 185 publications

Stress echocardiography: An overview for use in pediatric and congenital cardiology

Stress echocardiography: An overview for use in pediatric and congenital cardiology

Semi-supine Exercise Stress Echocardiography in Children and Adolescents: Feasibility and Safety

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