Abstract
Electrocardiographic stress testing is one of the most important non-invasive cardiac investigations mainly to diagnose ischemic heart disease. Although Bousfield was the first to detect ECG changes during stress in 1918 [1], Master and Jaffe [2] introduced this idea as a diagnostic tool in 1941. Since then this technique has been in increasing use, with modifications, in order to increase its value for the diagnosis of coronary artery disease. Information on myocardial performance is of value in evaluating the prognosis of a disease process, especially in coronary artery disease. Recent emphasis has been to the study of myocardial function during exercise. Several attempts have theefore been made using different non-invasive methods [3, 4] but these were either expensive to run and involved complicated technologies, difficult to repeat or impossible to pursue during exercise [5].
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References
Bousfield G: Angina pectoris - Changes in electrocardiogram during paroxysm. Lancet 2:457, 1918.
Master AM, Jaffe HL: The electrocardiographic changes after exercise in angina pectoris. J Mt Sinai Hosp 7:629, 1941.
Iskandrian AS, Hakki AM: Left ventricular function in patients with coronary heart disease in the presence or absence of angina pectoris during exercise radionuclide ventriculography. Am J Cardiol 53:1239, 1984.
Borer JS, Bacharach SL, Green MV et al.: Real-time radionuclide cine angiography in the non-invasive evaluation of global and regional left ventricular function at rest and during exercise in ptients with coronary artery disease. N Engl J Med 296:839, 1977.
Gibson D: Personal Communication.
Light LH, Cross G: Cardiovascular data by transcutaneous aortovelography. In: Blood Flow Measurement, Roberts C (ed.). Sector Publishing, London, pp 60–63, 1972.
Light LH: Transcutaneous aortovelography. A New window on the circulation. Br Heart J 38:433, 1976.
Sequeira RF, Light LH, Cross G, Raftery EB: Transcutaneous aortovelography - A quantitative evaluation. Br Heart J 38:443, 1976.
Buchtal A, Hanson GC, Peisach AR: Transcutaneous aortovelography - potentially useful technique in management of critically ill patients. Br Heart H 38:451, 1976.
Light LH, Sequeira RF, Cross G et al.: Flow-orientated circulatory patient assessment and management using transcutaneous aortovelography, a non-invasive Doppler technique. J Nucl Med All Sei 23:137, 1979.
Salmasi AM, Nicolaides, AN, Vecht RJ et al: Electrographic chest wall mapping in the diagnosis of coronary artery disease. Br Med J, 287:9, 1983.
Mowat DHR, Haites NE, Rawles JM: Aortic blood velocity measurement in healthy adults using a simple ultrasound technique. Cardiovasc Res 17:75, 1983.
Distante A, Moscarelli E, Rovai D, L’Abbath A: Monitoring changes in cardiac output by transcutaneous aortovelography, a non-invasive Doppler technique: comparison with thermodilution. J Nucl Med All Sei 24:171, 1980.
Salmasi AM, Salmasi Sajida, Light LH et al.: Changes in aortic blood velocity, stroke distance and other determinants of cardiac output with exercise and age in normal adults. Submitted for publication.
Taylor NC, Barber RW, Crossland P et al.: Effects of coronary artery bypass grafting on left ventricular function assessed by multiple gated ventricular scintigraphy. Br Heart J 50:149, 1983.
Jones RH, McEwan P, Newman GE et al.: Accuracy of diagnosis of coronary artery disease by radionuclide measurement of left ventricular function during rest and exercise. Circulation 64:586, 1981.
Sharma B, Goodwin JF, Raphael MJ et al.: Left ventricular angiography on exercise. A new method of assessing left ventricular function in ischaemic heart disease. Br Heart J 38:59, 1976.
Slutsky RA, Mancini GBJ, Gerber KH et al.: Response to supine bicycle exercise in normal subjects and in patients with coronary heart disease. Am Heart J 105:802, 1983.
Salmasi AM, Salmasi Sajida, Light LH et al.: Non-invasive assessment of left ventricular function in coronary artery disease by continuous-wave Doppler. In preparation.
Salmasi SNA, Salmasi AM, Hendry WG et al.: Exercise-induced changes in stroke volume measured non-invasively in coronary artery disease. Acta Cardiol 6:337, 1983.
Marshall RC, Wisenberg G, Schelbert MR, Henze E: Effect of oral propranolol on rest, exercise and post exercise left ventricular performance in normal subjects and patients with coronary artery disease. Circulation 63:572, 1981.
Battler A, Ross J, Slutsky RA et al.: Improvement of exercise-induced left ventricular dysfunction with oral propranolol in patients with coronary heart disease. Am J Cardiol 44:318, 1979.
Salmasi AM, Salmasi Sajida, Light LH et al.: Evaluation of the effect of coronary artery bypass grafting on myocardial performance by continuous wave Doppler. In preparation.
Salmasi AM: Comparison between the effects of Penbutolol and atenolol on myocardial performance in coronary artery disease. A study by continuous-wave Doppler. In preparation.
Salmasi AM: Non-invasive evaluation of the effect of nisoldipine on left ventricular function in coronary artery disease. In preparation.
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© 1986 Martinus Nijhoff Publishers, Dordrecht
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Salmasi, AM. (1986). Exercise Doppler cardiography. In: Spencer, M.P. (eds) Cardiac Doppler Diagnosis, Volume II. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4241-7_7
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DOI: https://doi.org/10.1007/978-94-009-4241-7_7
Publisher Name: Springer, Dordrecht
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