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Diagnostic accuracy of stress-echocardiography for the detection of significant coronary artery disease

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Imaging and Intervention in Cardiology

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 173))

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Abstract

Stress-echocardiography has been used for the detection of ischemia for more than a decade and was first reported to be a clinically feasible technique by Wann et al. [1]. Since then stress-echocardiography has become an increasingly popular non-invasive alternative method for the detection of coronary artery disease, which has a number of medical and economical advantages. A variety of stress modes has been applied to patients with suspected coronary artery disease to induce new wall motion abnormalities or to intensify preexisting wall motion abnormalities in the perfusion territory of a stenosed vessel. These wall motion abnormalities can be identified by 2D-echocardiography [2] and in experienced hands wall motion analysis based on stress-echocardiography has proved to be as sensitive and specific for the detection of coronary artery disease as myocardial scintigraphy [3, 4]. Moreover, stress echocardiography may be valuable to evaluate the functional relevance of coronary artery stenoses in patients with known coronary artery disease, which is often not reliably predicted by coronary angiography [5, 6].

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Author information

Authors and Affiliations

  1. Klinik III für Innere Medizin, University of Cologne, Joseph-Stelzmannstrasse 9, D-50924, Cologne, Germany

    Dr Frank M. Baer

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  1. Dr Frank M. Baer
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  2. Hans J. Deutsch
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Editors and Affiliations

  1. Department of Cardiology, University Hospital Eppendorf, Martinistrasse 52, D-20246, Hamburg, Germany

    Christoph A. Nienaber

  2. Klinik III für Innere Medizin, University of Cologne, Joseph-Stelzmannstrasse 9, D-50924, Cologne, Germany

    Udo Sechtem

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© 1996 Kluwer Academic Publishers

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Baer, D.F.M., Deutsch, H.J. (1996). Diagnostic accuracy of stress-echocardiography for the detection of significant coronary artery disease. In: Nienaber, C.A., Sechtem, U. (eds) Imaging and Intervention in Cardiology. Developments in Cardiovascular Medicine, vol 173. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0115-5_8

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  • DOI: https://doi.org/10.1007/978-94-009-0115-5_8

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6538-2

  • Online ISBN: 978-94-009-0115-5

  • eBook Packages: Springer Book Archive

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