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Future Applications of Echocardiography in Acute Coronary Syndrome

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Echocardiography in Acute Coronary Syndrome
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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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References

  1. 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.

    Article  PubMed  CAS  Google Scholar 

  2. 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.

    Article  PubMed  CAS  Google Scholar 

  3. 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.

    Article  PubMed  CAS  Google Scholar 

  4. 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.

    Article  PubMed  CAS  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. 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.

    Article  PubMed  CAS  Google Scholar 

  7. 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.

    Article  PubMed  CAS  Google Scholar 

  8. 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.

    Article  PubMed  CAS  Google Scholar 

  9. 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.

    Article  PubMed  CAS  Google Scholar 

  10. 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.

    Google Scholar 

  11. 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.

    Article  PubMed  Google Scholar 

  12. 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.

    PubMed  CAS  Google Scholar 

  13. 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.

    Article  PubMed  CAS  Google Scholar 

  14. 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.

    Article  PubMed  Google Scholar 

  15. 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.

    PubMed  CAS  Google Scholar 

  16. Wu Y, Unger EC, McCreery TP, et al. Binding and lysing of blood clots using MRX-408. Invest Radiol. 1998;33(12):880–885.

    Article  PubMed  CAS  Google Scholar 

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© 2009 Springer-Verlag London Limited

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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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  • DOI: https://doi.org/10.1007/978-1-84882-027-2_27

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