Two-Dimensional Speckle-Tracking during Dobutamine Stress Echocardiography in the Detection of Myocardial Ischemia in Patients with Suspected Coronary Artery Disease

Uusitalo, Valtteri; Luotolahti, Matti; Pietilä, Mikko; Wendelin‐Saarenhovi, Maria; Hartiala, Jaakko; Saraste, Markku; Knuuti, Juhani; Saraste, Antti

doi:10.1016/j.echo.2015.12.013

Cited by 58 publications

(39 citation statements)

References 25 publications

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“…Sensitivity and specificity are further enhanced with the use of novel echocardiographic techniques during stress testing, such as the use of tissue doppler imaging and speckle‐tracking or strain echocardiography. These techniques are more sensitive, and can facilitate the early recognition of myocardial dysfunction even prior to visual contractile dysfunction …”

Section: Functional Testingmentioning

confidence: 99%

“…These techniques are more sensitive, and can facilitate the early recognition of myocardial dysfunction even prior to visual contractile dysfunction. 16 Relevant echo techniques can serve as important tools for the symptomatic woman at-risk for IHD, by risk stratifying patients for IHD, but also identifying non-ischemic causes of cardiac symptoms. [17][18][19] Stress echocardiography risk stratification for IHD is based on the extent and severity of inducible ischemia.…”

Section: Figurementioning

confidence: 99%

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The role of imaging in women with ischemic heart disease

Aggarwal

Bond

Mieres

2018

Clinical Cardiology

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Substantial advances and insights in medical technology and treatment strategies, and the focus on sex-specific research have contributed to a reduction in cardiovascular mortality in women. Despite these advances, ischemic heart disease (IHD) remains the leading cause of cardiovascular morbidity and mortality of women in the Western world. Advances in cardiovascular imaging, over the past 4 decades, have significantly improved the evaluation and management of the full spectrum of coronary atherosclerosis, which contributes to ischemic heart disease. The development of contemporary and novel diagnostic imaging techniques and tools have assumed an expanded role in the evaluation of symptomatic women to detect not only flow-limiting epicardial coronary stenosis and nonobstructive atherosclerosis, but also ischemia resulting from microvascular dysfunction. IHD is now diagnosed early and with greater accuracy, leading to improved risk assessment and timely therapies in women. In this article, we review the available evidence on the role of contemporary diagnostic imaging techniques in the evaluation of women with suspected IHD.

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Section: Functional Testingmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

The role of imaging in women with ischemic heart disease

Aggarwal

Bond

Mieres

2018

Clinical Cardiology

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“…Since the use of ultrasound strain in identifying the acutely ischemic myocardium was reported in 2003 the role of two‐dimensional strain in the diagnoses of CAD at rest has been investigated in a number of studies involving different patients’ groups like diabetic patients or those with suspected new onset non‐ST segment elevation acute coronary syndrome . It was not until recently that the incremental value of two‐dimensional strain to DSE has been investigated …”

Section: Introductionmentioning

confidence: 99%

“…7,8 It was not until recently that the incremental value of twodimensional strain to DSE has been investigated. [9][10][11] We sought to use a simple technique to determine the incremental value of two-dimensional strain at peak stress in increasing the diagnostic accuracy of DSE for detection of both the presence as well as localization of CAD. Also we compared the different types of two-dimensional strain at peak stress namely longitudinal, circumferential, and radial to determine the most accurate of these modalities to diagnose significant CAD.…”

Section: Introductionmentioning

confidence: 99%

The additional utility of two‐dimensional strain in detection of coronary artery disease presence and localization in patients undergoing dobutamine stress echocardiogram

et al. 2017

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“…Although it sounds quite provocative, this hypothesis is tenable. Cardiovascular magnetic resonance (CMR) (21) and computed tomography (cardio-CT) (22,23) are important tools for ischemic (24) heart disease, but the depth of modern echocardiography (13)(14)(15)(25)(26)(27)(28)(29)(30) and the technical possibilities of advanced echocardiography with the corresponding experience provides many of the answers we need. The use of echocardiography can differ between the USA and Europe.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic assessment of myocardial ischemia

Leischik¹,

Dworrak²,

Sanchís-Gomar³

et al. 2016

Ann. Transl. Med.

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Over the last 60 years, echocardiography has emerged as a dominant and indispensable technique for the detection and assessment of coronary heart disease (CHD). In this review, we will describe and discuss this powerful tool of cardiology, especially in the hands of an experienced user, with a focus on myocardial ischemia.Technical development is still on-going, and various new ultrasound techniques have been established in the field of echocardiography in the last several years, including tissue Doppler imaging (TDI), contrast echocardiography, three-dimensional echocardiography (3DE), and speckle tracking echocardiography (i.e., strain/strain rateechocardiography). High-end equipment with harmonic imaging, high frame rates and the opportunity to adjust mechanical indices has improved imaging quality. Like all new techniques, these techniques must first be subjected to comprehensive scientific assessment, and appropriate training that accounts for physical and physiological limits should be provided. These limits will constantly be redefined as echocardiographic techniques continue to change, which will present new challenges for the further development of ultrasound technology.

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Two-Dimensional Speckle-Tracking during Dobutamine Stress Echocardiography in the Detection of Myocardial Ischemia in Patients with Suspected Coronary Artery Disease

Cited by 58 publications

References 25 publications

The role of imaging in women with ischemic heart disease

The role of imaging in women with ischemic heart disease

The additional utility of two‐dimensional strain in detection of coronary artery disease presence and localization in patients undergoing dobutamine stress echocardiogram

Echocardiographic assessment of myocardial ischemia

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