Use of stress echocardiography for the prognostic assessment of patients with stable chronic coronary artery disease

European Heart Journal
Thomas H Marwick

Abstract

Stress echocardiography has become an established tool for the diagnosis of coronary artery disease. However, in the current era of attention to cost effectiveness, the ability of a non-invasive test to predict outcomes, and therefore assist in clinical decision making, is paramount. As a reflection of the relative youth of this technique, there are fewer data using stress echocardiography to assess prognosis than there are using nuclear imaging. However, using both exercise and pharmacological stress echocardiography, the presence of ischaemia is strongly predictive of the recurrence of a subsequent cardiac event. Moreover, during pharmacological stress testing, the ischaemic threshold may be used to further stratify the risk of a positive test. More studies are needed in large populations to establish the prognostic role of stress echocardiography, as in independent predictor of outcome, incremental to clinical and stress testing data.

Citations

Nov 6, 2001·Journal of the American College of Cardiology·T H MarwickM Lauer
Jan 16, 2007·Journal of the American College of Cardiology·Louise D MetzKirsten E Fleischmann
Jul 8, 2009·JACC. Cardiovascular Imaging·Eike Nagel
Feb 15, 2001·Echocardiography·Steven C. Smart, Kiran B. Sagar
Sep 9, 2000·Echocardiography·S C Smart, K B Sagar
Jan 6, 2007·Journal of Computer-aided Molecular Design·Gregory A LandrumSantosh Putta
Mar 17, 2016·Scientific Reports·K Ellicott ColsonJennifer Ahern
Jun 26, 2004·Postgraduate Medicine·Tahir Tak, Ricardo Gutierrez
May 21, 1998·Herz·M Elsner

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

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