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Comparison of Exercise and Pharmacologic Stress Echocardiography and Electrocardiography

  • Chapter
Stress Echocardiography

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 149))

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Abstract

The provocation of ST segment depression in response to increased cardiac work is accepted as the simplest and most widely used test for the documentation of myocardial ischemia [1]. These phenomena reflect changes in the polarity of (usually subendocardial) segments, based upon ischemia-induced disturbances in the electrical state of individual myocytes [2], and depend to some extent on the location and extent of ischemia. While the stress electocardiogram (ECG) reflects the electrical manifestation of ischemia, its ability to accurately identify this may be clouded by the development of similar ECG patterns with non-ischemic processes. These influences contrast with the sensitivity and specificity of the mechanical sequelae of ischemia, identified by echocardiography.

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Authors and Affiliations

  1. Cardiology Department F15, Cleveland Clinic Foundation, Cleveland, OH 44195, USA

    T. Marwick (Director of Cardiac Stress Imaging)

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  1. T. Marwick
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  2. J-M. Detry
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© 1994 Springer Science+Business Media Dordrecht

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Marwick, T., Detry, JM. (1994). Comparison of Exercise and Pharmacologic Stress Echocardiography and Electrocardiography. In: Stress Echocardiography. Developments in Cardiovascular Medicine, vol 149. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0782-2_6

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  • DOI: https://doi.org/10.1007/978-94-011-0782-2_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4335-9

  • Online ISBN: 978-94-011-0782-2

  • eBook Packages: Springer Book Archive

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