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Echocardiography in the diagnosis and assessment of occult coronary artery disease

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Occult Atherosclerotic Disease

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 123))

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Abstract

Atherosclerotic coronary artery disease remains one of the leading causes of death in western civilization. The severity of coronary atherosclerosis however found in patients who die suddenly shows a remarkable variability suggesting that other factors superimposed on a variable degree of atherosclerosis may substantially contribute to sudden death [1]. Acute myocardial ischaemia is by itself responsible for the fatal event, whereas the anatomic lesions of the coronary arteries may only favour or predispose the development of such ischaemia [2].

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References

  1. Goldstein S. Sudden death and coronary heart disease. Futura Publishing Co. Mount Kisco, New York, 1974.

    Google Scholar 

  2. Maseri A. Pathogenetic mechanisms of angina pectoris: Expanding views. Br Heart J 1980; 43:648.

    Article  PubMed  CAS  Google Scholar 

  3. Bardsley W T, Mankin H T. Exercise testing. In: R O Brandenburg, V Fuster, E R Giuliani, D C McGoon (eds), Cardiology: Fundamentals and practice. Chicago, 1987; 369.

    Google Scholar 

  4. Goldstein S, de Jong J W. Changes in left ventricular wall dimensions during regional myocardial ischaemia. Am J Cardiol 1974; 34:56.

    Article  PubMed  CAS  Google Scholar 

  5. Theroux P, Franklin D, Ross J Jr et al. Regional myocardial function during acute coronary artery occlusion and its modification by pharmacologic agents in the dog. Circ Res 1974; 35:896.

    Article  PubMed  CAS  Google Scholar 

  6. Kerber R E, Marcus M L, Ehrhardt J et al. Correlation between echocardiographically demonstrated segmental dyskinesis and regional myocardial perfusion. Circulation 1975; 52:1097.

    Article  PubMed  CAS  Google Scholar 

  7. Battler A, Froelicher V F, Gallagher K P et al. Dissociation between regional myocardial dysfunction and ECG changes during ischaemia in the conscious dog. Circulation 1980; 62:735.

    Article  PubMed  CAS  Google Scholar 

  8. Visser C A, Lie K I, Kan G, Meltzer R, Durrer D. Detection and quantification of acute, isolated myocardial infarction by two-dimensional echocardiography. Am J Cardiol 1981; 47:1020.

    Article  PubMed  CAS  Google Scholar 

  9. Heger J J, Weyman A E, Wann L S, Dillon J C, Feigenbaum H. Cross-sectional echocar-diography in acute myocardial infarction: detection and localisation of regional left ventricular asynergy. Circulation 1979; 60:531.

    Article  PubMed  CAS  Google Scholar 

  10. Morganroth J, Chen C C, David D, Sawin H S, Naito M, Parrotto C, Meixell L. Exercise cross-sectional echocardiographic diagnosis of coronary artery disease. Am J Cardiol 1981; 47:20.

    Article  PubMed  CAS  Google Scholar 

  11. Gillam L D, Hogan R D, Foale R A et al. A comparison of quantitative echocardiographic methods for delineating infarct-induced abnormal wall motion. Circulation 1984; 70:112.

    Article  Google Scholar 

  12. Schnittger I, Fitzgerarld P J, Gordon E P et al. Computerised quantitative analysis of left ventricular wall motion by two-dimensional echocardiography. Circulation 1984; 70:242.

    Article  PubMed  CAS  Google Scholar 

  13. Oliver L, Geiser E, Zhang L et al. Evaluation of an automated border detection algorithm in two-dimensional echocardiographic images of varying quality: observer vs computer variability. J Am Coll Cariol 1984; 3:564.

    Google Scholar 

  14. Parisi A F, Moynihan P F, Folland E D et al. Quantitative detection of regional left ventricular contraction abnormalities by two-dimensional echocardiography. II. Accuracy in coronary artery disease. Circulation 1981; 63:761.

    Article  PubMed  CAS  Google Scholar 

  15. Maurer G, Nanda N C. Two-dimensional echocardiographic evaluation of exercise-induced left and right ventricular asynergy. Correlation with Thallium scanning. Am J Cardiol 1981; 48:720.

    Article  PubMed  CAS  Google Scholar 

  16. Feinstein S B, Lang R M, Dick C et al. Contrast echocardiographic perfusion studies in humans. Am J Cardiac Imaging 1986; 1:29.

    Google Scholar 

  17. DeMaria A N, Bommer W J, Riggs K et al. Echocardiographic visualisation of myocardial perfusion by left heart and intracoronary injections of echo-contrast agents. Circulation 1980; 62:III, (suppl 3): 143.

    Google Scholar 

  18. Feinstein S B, Shah P M, Bing R J et al. Microbubble dynamics visualised in the intact capillary circulation. J Am Coll Cardiol 1984; 3:595.

    Article  Google Scholar 

  19. Kaul S, Pandian N G, Okada R D et al. Contrast echocardiography in acute myocardial ischaemia: I. In vivo determination of total left ventricular ‘are at risk’. J Am Coll Cardiol 1984; 4:1272.

    Article  PubMed  CAS  Google Scholar 

  20. Armstrong W F. Assessment of myocardial perfusion with contrast enhanced echocardiography. Echocardiography 1986; 3:355.

    Article  Google Scholar 

  21. Ten Cate F G, Drury J K, Meerbaum S et al. Myocardial contrast two-dimensional echocardiography: Experimental examination at different coronary flow levels. J Am Coll Cardiol 1984; 3:1219.

    Article  PubMed  Google Scholar 

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© 1991 Springer Science+Business Media Dordrecht

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Nihoyannopoulos, P. (1991). Echocardiography in the diagnosis and assessment of occult coronary artery disease. In: Salmasi, AM., Nicolaides, A.N. (eds) Occult Atherosclerotic Disease. Developments in Cardiovascular Medicine, vol 123. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3404-0_10

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  • DOI: https://doi.org/10.1007/978-94-011-3404-0_10

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5506-2

  • Online ISBN: 978-94-011-3404-0

  • eBook Packages: Springer Book Archive

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