Abstract
Many tests have been proposed in combination with echocardiography: only a few have a role in clinical practice. The most widely employed tests for the induction of coronary vasospasm are ergonovine and hyperventilation. For the diagnosis of organic coronary artery disease, the most popular stresses are dipyridamole, adenosine, and dobutamine. Among nonpharmacologic tests, dynamic exercise is obviously the most important. An exercise-independent, nonpharmacologic stress is transvenous or transesophageal pacing. Finally, the combined dipyridamole exercise stress allows the diagnosis of ischemia in patients with milder, yet hemodynamically significant, forms of coronary disease.
The easier to do, the more difficult to change
Erg’s Principle, in A. Bloch, Murphy’s Law Book Three
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References
Distante A, Picano E, Rovai D, Moscarelli E, Palombo C, Masini M, Morales MA, Lombardi M, Lattanzi F (1988) Coronary vasospasm: provocative ergonovine testing during echocardiographic monitoring. In: Kerber RE (ed) Echocardiography in coronary artery disease. Futura, Mount Kisco, pp 165 —190
Previtali M, Ardissino D, Barberis P, Panciroli C, Chimienti M, Salerno JA (1989) Hyperventilation and ergonovine tests in Prinzmetal’s variant angina pectoris in man. Am J Cardiol 63:17 — 20
Picano E, Lattanzi F, Masini M, Distante A, L’Abbate A (1986) High dose dipyridamole echocardiography test in effort angina pectoris. J Am Coll Cardiol 8: 846 - 854
Trakhtenbroit AD, Cheirif J, Kleiman N, Verani MS, Zoghbi WA (1990) Adenosine echocardiography in the diagnosis of coronary artery disease: comparison with coronary angiography. Circulation 82:III —193 A
Martin T, Seaworth J, Johns J, Pupa L, Condos W (1991) Comparison of adenosine, dipyridamole and dobutamine stress echocardiography for the detection of coronary artery disease. J Am Coll Cardiol 17 [2]: 277A
Sawada SG, Segar DS, Ryan T, Brown SE, Dohan AM, Williams R, Fineberg NS, Armstrong WF, Feigenbaum H (1991) Digital echocardiographic detection of coronary artery disease during dobutamine infusion. Circulation 83: 1605 - 1614
Previtali M, Lanzarini L, Ferrario M, Tortorici M, Mussini A, Montemartini C (1991) Dobutamine vs dipyridamole echocardiography in coronary artery disease. Circulation 83 (Suppl III): 27 - 32
Salustri A, Fioretti P, Pozzoli MA, ten Cate F, Roelandt JRTC, Sutherland GR (1990) A comparison of dobutamine and high-dose dipyridamole stress echocardiography in the diagnosis of coronary artery disease. Circulation 82 (Suppl III): 82A
Chapman PD, Doyle TP, Troup PJ, Gross CM, Wann LS (1984) Stress echocardiography with transesophageal atrial pacing: preliminary report of a new method for detection of ischemic wall motion abnormalities. Circulation 70: 445 - 455
Iliceto S, Sorino M, D’Ambrosio G, Papa A, Favale S, Biasco G, Rizzon P (1985) Detection of coronary artery disease by two-dimensional echocardiography and trans-esophageal atrial pacing. J Am Coll Cardiol 5:1188 —1195
Wann LS, Faris JV, Childress RH, Dillon JC, Weyman AE, Feigenbaum H (1979) Exercise cross-sectional echocardiography in ischemic heart disease. Circulation 60:1300— 1306
Robertson WS, Feigenbaum H, Armstrong WF, Dillon JC, O’Donnell J (1983) Exercise echocardiography: a clinically practical addition in the evaluation of coronary artery disease. J Am Coll Cardiol 2: 1085 - 1090
Picano E, Lattanzi F, Masini M, Distante A, L’Abbate A (1989) Usefulness of dipyridamole-exercise echocardiography test for diagnosis of coronary artery disease. Am J Cardiol 63: 14 - 16
Marangelli V, D’Ambrosio G, Carella L, Iliceto S, Rizzon P (1991) Digital eine loop technology. A new tool for the evaluation of wall motion abnormalities. In: Iliceto S, Roelandt JR, Rizzon P (eds) Ultrasound in coronary artery disease. Kluwer, Dordrecht
Picano E, Lattanzi F, Orlandini A, Marini C, L’Abbate A (1991) Stress echocardiography and the human factor: the importance of being expert. J Am Coll Cardiol 17:666— 669
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© 1992 Springer-Verlag Berlin Heidelberg
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Picano, E. (1992). Stress Echocardiography: Instructions for Use. In: Stress Echocardiography. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-13061-2_7
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DOI: https://doi.org/10.1007/978-3-662-13061-2_7
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