The role of dobutamine stress echocardiography (DSE) in risk stratification post-acute myocardial infarction (AMI) has rapidly evolved. In the pre-stent era it helped identify patients who were at higher risk of developing adverse events. These patients were thought to benefit from more invasive therapy. In the post-stent era our paradigm has shifted to an early invasive strategy for patients with non-ST-segment elevation acute coronary myocardial infarction (NSTEMI). Since the majority of NSTEMI patients undergo early angiography, the role for DSE has been diminished. However, when myocardial viability is of question, DSE still is an effective tool.
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Museitif, R., Djelmami-Hani, M., Sagar, K.B. (2009). Risk Stratification Following Acute Myocardial Infarction: Role of Dobutamine Stress Echocardiography. In: Herzog, E., Chaudhry, F. (eds) Echocardiography in Acute Coronary Syndrome. Springer, London. https://doi.org/10.1007/978-1-84882-027-2_23
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