Abstract
Despite the well-established diagnostic and prognostic role of two dimensional (2D) stress echocardiography (SE), 2D SE has its limitations. Multiple views of the left ventricle must be obtained within 90 seconds, and foreshortening of the left ventricle (LV) is a frequently encountered problem. Real time three-dimensional (3D) SE can overcome many limitations of 2D SE. All LV segments can be assessed simultaneously in different planes and the images can be displayed in multiplane or multislice views which provides for more accurate comparison. Moreover, the imaging acquisition time is significantly shorter in 3D or biplane modes than with 2D, and analysis of the 3D data set has been greatly facilitated by the recent advances in automated software.
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References
Pellikka PA, Arruda-Olson A, Chaudhry FA, Chen MH, Marshall JE, Porter TR, et al. Guidelines for performance, interpretation, and application of stress echocardiography in ischemic heart disease: from the American society of echocardiography. J Am Soc Echocardiogr. 2020;33(1):1–41.e8.
Steeds RP, Wheeler R, Bhattacharyya S, Reiken J, Nihoyannopoulos P, Senior R, et al. Stress echocardiography in coronary artery disease: a practical guideline from the British Society of Echocardiography. Echo Res Pract. 2019;6(2):G17–g33.
Gurunathan S, Senior R. Stress echocardiography in stable coronary artery disease. Curr Cardiol Rep. 2017;19(12):121.
Berbarie RF, Dib E, Ahmad M. Stress echocardiography using real-time three-dimensional imaging. Echocardiography. 2018;35(8):1196–203.
Yang HS, Pellikka PA, McCully RB, Oh JK, Kukuzke JA, Khandheria BK, et al. Role of biplane and biplane echocardiographically guided 3-dimensional echocardiography during dobutamine stress echocardiography. J Am Soc Echocardiogr. 2006;19(9):1136–43.
Peteiro J, Piñon P, Perez R, Monserrat L, Perez D, Castro-Beiras A. Comparison of 2- and 3-dimensional exercise echocardiography for the detection of coronary artery disease. J Am Soc Echocardiogr. 2007;20(8):959–67.
Ahmad M, Xie T, McCulloch M, Abreo G, Runge M. Real-time three-dimensional dobutamine stress echocardiography in assessment stress echocardiography in assessment of ischemia: comparison with two-dimensional dobutamine stress echocardiography. J Am Coll Cardiol. 2001;37(5):1303–9.
Aggeli C, Felekos I, Roussakis G, Kazazaki C, Lagoudakou S, Pietri P, et al. Value of real-time three-dimensional adenosine stress contrast echocardiography in patients with known or suspected coronary artery disease. Eur J Echocardiogr. 2011;12(9):648–55.
Takeuchi M, Otani S, Weinert L, Spencer KT, Lang RM. Comparison of contrast-enhanced real-time live 3-dimensional dobutamine stress echocardiography with contrast 2-dimensional echocardiography for detecting stress-induced wall-motion abnormalities. J Am Soc Echocardiogr. 2006;19(3):294–9.
Eroglu E, D'Hooge J, Herbots L, Thijs D, Dubois C, Sinnaeve P, et al. Comparison of real-time tri-plane and conventional 2D dobutamine stress echocardiography for the assessment of coronary artery disease. Eur Heart J. 2006;27(14):1719–24.
Johri AM, Chitty DW, Hua L, Marincheva G, Picard MH. Assessment of image quality in real time three-dimensional dobutamine stress echocardiography: an integrated 2D/3D approach. Echocardiography. 2015;32(3):496–507.
Yang HS, Bansal RC, Mookadam F, Khandheria BK, Tajik AJ, Chandrasekaran K. Practical guide for three-dimensional transthoracic echocardiography using a fully sampled matrix array transducer. J Am Soc Echocardiogr. 2008;21(9):979–89. quiz 1081-2
Shivalkar B, De Keersmaeker A, Van Hoeck N, Belkova P, Van de Heyning CM, De Maeyer C, et al. Is 3D Dobutamine stress echocardiography ready for prime time? Diagnostic and prognostic implications. Eur Heart J Cardiovasc Imaging. 2020;21(4):428–36.
Hoogslag GE, Joyce E, Bax JJ, Ajmone Marsan N, Delgado V. Assessment of global left ventricular excursion using three-dimensional dobutamine stress echocardiography to identify significant coronary artery disease. Echocardiography. 2016;33(10):1532–8.
Parker KM, Clark AP, Goodman NC, Glover DK, Holmes JW. Comparison of quantitative wall-motion analysis and strain for detection of coronary stenosis with three-dimensional dobutamine stress echocardiography. Echocardiography. 2015;32(2):349–60.
Lancellotti P, Pellikka PA, Budts W, Chaudhry FA, Donal E, Dulgheru R, et al. The clinical use of stress echocardiography in non-ischaemic heart disease: recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. Eur Heart J Cardiovasc Imaging. 2016;17(11):1191–229.
Tanaka H, Oishi Y, Mizuguchi Y, Emi S, Ishimoto T, Nagase N, et al. Three-dimensional evaluation of dobutamine-induced changes in regional myocardial deformation in ischemic myocardium using ultrasonic strain measurements: the role of circumferential myocardial shortening. J Am Soc Echocardiogr. 2007;20(11):1294–9.
Lang RM, Addetia K, Narang A, Mor-Avi V. 3-dimensional echocardiography: latest developments and future directions. JACC Cardiovasc Imaging. 2018;11(12):1854–78.
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Yang, H.S., Chandrasekaran, K. (2022). Is 3D Better than 2D During Stress Echo?. In: Maalouf, J.F., Faletra, F.F., Asirvatham, S.J., Chandrasekaran, K. (eds) Practical 3D Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-030-72941-7_23
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DOI: https://doi.org/10.1007/978-3-030-72941-7_23
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