Stress echocardiography in special groups: in women, in left bundle branch block, in hypertension and after heart transplantation

European Heart Journal
M SchartlE Fleck

Abstract

The non-invasive diagnosis of coronary artery disease by exercise electrocardiography is less accurate in women than in men, with a high rate of false-positive results in women. In contrast, recent studies have demonstrated that stress echocardiography in women is more accurate than exercise echocardiography and that the significantly higher specificity of stress electrocardiography may have the benefit of avoiding unnecessary angiography in women. Exercise-induced changes in the electrocardiogram are non-diagnostic in the presence of left bundle branch block or basal ST changes. In these patients, stress echocardiography can be used instead of conventional scintigraphy for the detection of coronary artery disease, but further echocardiographic studies are needed to confirm the promising results. Exercise electrocardiography and exercise echocardiography have been reported to be disappointing in the early detection of cardiac allograft vasculopathy after heart transplantation, and dobutamine stress echocardiography overestimates the incidence of angiographic evidence of cardiac allograft vasculopathy. However, compared to intravascular ultrasound imaging, dobutamine stress echocardiography seems to be a suitable non-invasive me...Continue Reading

Citations

Nov 5, 2003·American Heart Journal·Joon-Han ShinJames D Thomas
Feb 24, 2015·International Journal of Cardiology·Ify Mordi, Nikolaos Tzemos
Jul 1, 2008·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Edyta Płońska-GosciniakJarosław D Kasprzak
Jul 28, 2016·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Ratnasari Padang, Patricia A Pellikka
Oct 2, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Satoru SakuragiKenji Sunagawa
Feb 19, 2021·Circulation Journal : Official Journal of the Japanese Circulation Society·Masakazu YamagishiUNKNOWN Japanese Circulation Society Working Group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.

Basal Ganglia

Basal Ganglia are a group of subcortical nuclei in the brain associated with control of voluntary motor movements, procedural and habit learning, emotion, and cognition. Here is the latest research.