RJ is a 55-year-old male who presents to your clinic due to his concern for cardiovascular disease. His past medical history is notable for hypertension and hyperlipidemia, both of which are controlled with medications. He has no history of alcohol, tobacco, or drug use. His medications include atenolol 25 mg daily, lipitor 40 mg daily, and aspirin 81 mg daily. He is an avid runner and is currently training for an upcoming marathon. Currently, he has no cardiovascular symptoms. He is seeking care from you because he has a strong family history of heart disease and is concerned about his cardiovascular risk. His father, grandfather, and older brother all died suddenly before age 50 from myocardial infarction. RJ is afraid that he will “drop dead like the rest of his family.”
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Cortigiani L, Dodi C, Paolini E, Bernardi D, Bruno G, Nannini E. Prognostic value of pharmacological stress echocardiography in women with chest pain and unknown coronary artery disease. J Am Coll Cardiol. 1998;32(7):1975–1981.
Cortigiani L, Lombardi M, Landi P, Paolini EA, Nannini E. Risk stratification by pharmacological stress echocardiography in a primary care cardiology centre. Experience in 1082 patients. Eur Heart J. 1998;19(11):1673–1680.
Cortigiani L, Picano E, Coletta C, et al. Safety, feasibility, and prognostic implications of pharmacologic stress echocardiography in 1482 patients evaluated in an ambulatory setting. Am Heart J. 2001;141(4):621–629.
Steinberg EH, Madmon L, Patel CP, Sedlis SP, Kronzon I, Cohen JL. Long-term prognostic significance of dobutamine echocardiography in patients with suspected coronary artery disease: results of a 5-year follow-up study. J Am Coll Cardiol. 1997;29(5):969–973.
Yao S, Qureshi E, Sherrid MV, Chaudhry FA. Practical applications in stress echocardiography: risk stratification and prognosis in patients with known or suspected ischemic heart disease. J Am Coll Cardiol. 2003;42(6):1084–1090.
Ambrose J, Hjemdahl-Monsen C, Borrico S, Gorlin R, Fuster V. Angiographic demonstration of a common link between unstable angina pectoris and non-Q-wave acute myocardial infarction. Am J Cardiol. 1988;61(4):244–247.
Ambrose J, Tannenbaum M, Alexopoulos D, et al. Angiographic progression of coronary artery disease and the development of myocardial infarction. J Am Coll Cardiol. 1988;12(1):56–62.
Little W, Constantinescu M, Applegate R, et al. Can coronary angiography predict the site of a subsequent myocardial infarction in patients with mild-to-moderate coronary artery disease? Circulation. 1988;78(5 Pt 1):1157–1166.
Huang S, Hamilton A, Nagaraj A, et al. Improving ultrasound reflectivity and stability of echogenic liposomal dispersions for use as targeted ultrasound contrast agents. J Pharm Sci. 2001;90(12):1917–1926.
Basalyga DM, Wagner WR, Beer-Stolz D, Fenyus ML, Villanueva FS. Albumin microbubbles adhere to exposed extracellular matrix of perfused whole vessels. Circulation. 1998;98:I-290.
Yasu T, Greener Y, Jablonski E, et al. Activated leukocytes and endothelial cells enhance retention of ultrasound contrast microspheres containing perfluoropropane in inflamed venules. Int J Cardiol. 2005;98(2):245–252.
Villanueva F, Jankowski R, Klibanov S, et al. Microbubbles targeted to intercellular adhesion molecule-1 bind to activated coronary artery endothelial cells. Circulation. 1998;98(1):1–5.
Demos SM, Alkan-Onyuksel H, Kane BJ, et al. In vivo targeting of acoustically reflective liposomes for intravascular and transvascular ultrasonic enhancement. J Am Coll Cardiol. 1999;33(3):867–875.
Hamilton A, Huang S, Warnick D, et al. Intravascular ultrasound molecular imaging of atheroma components in vivo. J Am Coll Cardiol. 2004;43(3):453–460.
Lanza GM, Wallace KD, Scott MJ, et al. A novel site-targeted ultrasonic contrast agent with broad biomedical application. Circulation. 1996;94(12):3334–3340.
Wu Y, Unger EC, McCreery TP, et al. Binding and lysing of blood clots using MRX-408. Invest Radiol. 1998;33(12):880–885.
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Tung, P., Kee, P., Kim, H., Huang, S., Klegerman, M., McPherson, D. (2009). Future Applications of Echocardiography in Acute Coronary Syndrome. In: Herzog, E., Chaudhry, F. (eds) Echocardiography in Acute Coronary Syndrome. Springer, London. https://doi.org/10.1007/978-1-84882-027-2_27
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