The clinical efficacy and long-term prognostic value of stress echocardiography in octogenarians

Gurunathan, Sothinathan; Ahmed, Asrar; Pabla, Jatinder; Karogiannis, Nikos; Hua, Alina; Young, Grace; Shah, Benoy N.; Senior, Roxy

doi:10.1136/heartjnl-2016-310026

Cited by 9 publications

(5 citation statements)

References 20 publications

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“…All SE studies were performed using either treadmill exercise or pharmacological (dobutamine-atropine) stress as described previously (13). As per protocol heart rate lowering medications were withheld for 48hrs prior to testing.…”

Section: Stress Echocardiographymentioning

confidence: 99%

Diagnostic Concordance and Clinical Outcomes in Patients Undergoing Fractional Flow Reserve and Stress Echocardiography for the Assessment of Coronary Stenosis of Intermediate Severity

Gurunathan

Ahmed

Vamvakidou

et al. 2018

Journal of the American Society of Echocardiography

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Section: Stress Echocardiographymentioning

confidence: 99%

Diagnostic Concordance and Clinical Outcomes in Patients Undergoing Fractional Flow Reserve and Stress Echocardiography for the Assessment of Coronary Stenosis of Intermediate Severity

Gurunathan

Ahmed

Vamvakidou

et al. 2018

Journal of the American Society of Echocardiography

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“…Few studies assessed the accuracy of exercise SE for detecting stable CAD in the elderly. The study by Gurunathan et al combined the results of patients with documented CAD that followed different exercise methods [ 39 ]. Meta-analyses of studies that included patients from all age groups reported s sensitivity of exercise SE of 79–85% and s specificity of 77–89% [ 34 , 40 , 41 , 42 , 43 ].…”

Section: Exercise Stress Echocardiography For Diagnosis Of Stable mentioning

confidence: 99%

Noninvasive Testing for Diagnosis of Stable Coronary Artery Disease in the Elderly

Kozlov

Chernova

Gerasimova

et al. 2020

IJMS

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Efficient diagnostic approaches to detect coronary artery disease (CAD) in elderly patients are necessary to ensure optimal and timely treatment. The population of suspected CAD patients older than 70 years is especially vulnerable and constantly growing. Finding the optimal diagnostic approach is challenging due to certain features of this population, such as high prevalence of comorbidities, existing contraindications to exercise tests or cognitive decline, which hinders correct assessment of the patient’s situation. Moreover, some symptoms of CAD can have variable significance in the elderly compared to younger adult groups. In this review, we present current recommendations of the United States (US) and European cardiologists’ associations and discuss their applicability for diagnostics in the elderly population. Exercise electrocardiogram (ECG) and exercise stress echocardiography (SE) tests are not feasible for a substantial proportion of elderly patients. Coronary computed tomography angiography (CTA) appears to be an attractive alternative for such patients, but is not universally applicable; for instance, it is problematic in patients with significant calcification of the vessels. Moreover, more studies are needed to compare the results delivered by CTA to those of other diagnostic methods. Future efforts should be focused on comparative studies to better understand the limits and advantages of different diagnostic methods and their combinations. It is possible that some of the currently used diagnostic criteria could be improved to better accommodate the needs of the elderly population.

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“…Gurunathan, et al studied 374 octogenarians [30] and confirmed that ischemia was an independent predictor of events, associated with a 50% increase in all-cause mortality.…”

Section: Speckle Trackingmentioning

confidence: 99%

Novelties on Stress Echocardiography for the Assessment of Ischemia

Peteiro¹

2017

Int Arch Intern Med

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The clinical efficacy and long-term prognostic value of stress echocardiography in octogenarians

Abstract: In octogenarians, SE demonstrated excellent feasibility, safety and diagnostic accuracy. SE parameters were independent predictors of NFMI and CV events, and the presence of inducible ischaemia was associated with a 50% increase in all-cause mortality.

Cited by 9 publications

References 20 publications

Diagnostic Concordance and Clinical Outcomes in Patients Undergoing Fractional Flow Reserve and Stress Echocardiography for the Assessment of Coronary Stenosis of Intermediate Severity

Diagnostic Concordance and Clinical Outcomes in Patients Undergoing Fractional Flow Reserve and Stress Echocardiography for the Assessment of Coronary Stenosis of Intermediate Severity

Noninvasive Testing for Diagnosis of Stable Coronary Artery Disease in the Elderly

Novelties on Stress Echocardiography for the Assessment of Ischemia

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