Abstract
The management of patients with chest pain requires answers to two principal questions. Firstly, is myocardial ischemia the cause of the pain and, if so, where is it and how extensive is it? Secondly, what form of treatment is most likely to abolish symptoms and improve prognosis, in particular, is coronary arteriography required prior to a revascularization procedure?
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Iskandrian AS, Hakki AH, Kane-Marsch (1985) Prognostic implications of exercise thallium-201 scintigraphy in patients with suspected or known coronary artery disease. Am Heart J 110: 135–143
Iskandrian AS, Hakki AH, Goel IP, Mundth ED, Kane-Marsch S, Schenk CL (1985) The use of rest and exercise radionuclide ventriculography in risk stratification in patients with suspected coronary artery disease. Am Heart J 110: 864–872
Goldschlager N, Sox HC (1988) The diagnostic and prognostic value of the exercise treadmill test in the evaluation of chest pain, in patients with recent myocardial infarction, and in asymptomatic individuals. Am Heart J 116: 523–535
Weiner DA, Ryan Ti, McCabe CH et al. (1986) The role of exercise testing in identifying patients with improved survival after coronary artery bypass surgery. J Am Coll Cardiol 8: 741–748
Gohlke H, Samek L, Betz P, Roskamm H (1983) Exercise testing provides additional prognostic information in angiographically defined subgroups of patients with coronary artery disease. Circulation 63: 1329–1338
Plotnick GD (1986) Coronary artery bypass surgery to prolong life?: Less anatomy/more physiology. J Am Coll Cardiol 8: 749–751
Kirkeeide RL, Lance Gould K, Parsel L (1986) Assessment of coronary stenoses by myocardial perfusion imaging during pharmacologic coronary vasodilatation. VII. Validation of coronary flow reserve as a single integrated functional measure of stenosis severity reflecting all its geometric dimensions. J Am Coll Cardiol 7: 103–113
Fedele FA, Sharaf B, Most AS, Gewirtz H (1989) Details of coronary stenosis morphology influence its haemodynamic severity and distal flow reserve. Circulation 80: 636–642
Marcus ML, Skorton DJ, Johnson MR, Collins SM, Harrison DG, Kerber RE (1988) Visual estimates of percent diameter coronary stenosis: ‘A battered gold standard’. J Am Coll Cardiol 111: 882–885
White CW, Wright CB, Doty DB et al. (1984) Does visual interpretation of the coronary arteriogram predict the physiologic importance of a coronary stenosis? N Engl J Med 310: 819–824
Sketch MH, Mohiuddin SM, Lynch JD, Zencka AE, Runco V (1975) Significant sex differences in the correlation of electrocardiographic exercise testing and coronary angiograms. Am J Cardiol 36: 169–173
Prinzmetal M, Toyoshima H, Ekmekci A, Mizuno Y, Nagaya T (1961) Myocardial ischaemia. Nature of ischaemic electrocardiographic patterns in mammalian ventricles as determined by intracellular electrocardiographic and metabolic changes. Am J Cardiol 8: 493
Block P, Tiberghien J, Coussaert et al. (1976) Surface maps and myocardial scanning at rest and during exercise: Comparison with coronary angiography. Arch Int Physiol Biochem 84: 544
Fox K, Ilsley C (1984) The essentials of exercise electrocardiography. London: Current medical literature: 19–20
Picano E, Lattanzi F, Masini M, Distante A, L’Abbate A (1987) Comparison of the high dose dipyridamole echocardiography test and exercise two-dimensional echocardiography for diagnosis of coronary artery disease. Am J Cardiol 59: 539–542
Gang C, Huan-yuan Y, Ke-qi W, Dong-cheng Z, Qing-gui G (1989) Impedance cardiography dipyridamole test in detecting coronary artery disease. Chin Med J 102: 145–151
Roig E, Chomka EV, Castaner A et al. (1989) Exercise ultrafast computed tomography for the detection of coronary artery disease. J Am Coll Cardiol 13: 1073–1081
Cerquiera MD, Jacobson AF (1989) Assessment of myocardial viability with SPECT and PET imaging. AJR 153: 477–483
Schaefer, Peshock RM, Parkey RW, Willerson JT (1986) A new device for exercise MR imaging. AJR 147: 1289–1290
Kerber RE, Miller RA, Najjar SM (1975) Myocardial ischaemic effects of isometric, dynamic and combined exercise in coronary artery disease. Chest 67: 388–394
Bodenheimer MM, Banka VS, Fooshee CM, Gillespie JA, Helfant RH (1978) Detection of coronary heart disease using radionuclide determined regional ejection fraction at rest and during handgrip exercise: Correlation with coronary arteriography. Circulation 58: 640–648
Brown G, Josephson MA, Petersen RD et al. (1981) Intravenous dipyridamole combined with isometric handgrip for near maximal coronary flow in patients with coronary artery disease. Am J Cardiol 48: 1077–1085
Stratman HG, Aker UT, Vandormael M, Ischinger T, Wiens R, Kennedy HL (1987) Atrial pacing during percutaneous coronary angioplasty: results and comparison with exercise treadmill testing. Angiology 38: 663–671
Stratman HG, Mark AL, Walter KE, Fletcher JW, Williams (1987) Atrial pacing and thallium-210 scintigraphy: combined use for diagnosis of coronary artery disease. Angiology 38: 807–814
Chapman PD, Doyle TP, Troup PJ, Gross CM, Wann LS (1984) Stress echocardiography with transoesophageal atrial pacing: preliminary report of a new method for detection of ischaemic wall motion abnormalities. Circulation 70: 445–450
Dehmer GJ, Firth BG, Nicod P, Lewis SE, Hills LD (1983) Alterations in left ventricular volumes and ejection fraction during atrial pacing in patients with coronary artery disease: assessment with radionuclide ventriculography. Am Heart J 106: 114–124
Verani MS, Zacca NM, DeBauche TL, Miller RR, Chahine RA (1982) Comparison of cold pressor and exercise radionuclide angiocardiography in coronary artery disease. J Nucl Med 23: 770–776
Goldi B, Nanda NC (1984) Cold pressor test during 2D-echocardiography: usefulness in detection of patients with coronary disease. Am Heart J 107: 278–285
Ahmad M, Dubiel JP, Haibach H (1982) Cold pressor thallium-201 myocardial scintigraphy in the diagnosis of coronary artery disease. Am J Cardiol 50: 1253–1257
Dymond DS, Caplin JL, Flatman W, Burnett P, Banim S, Spurrell R (1984) Temporal evolution of changes in left ventricular function induced by cold pressor stimulation. An assessment with radionuclide angiography and gold 195 m. Br Heart J 51: 557–564
Northcote RJ, Cooke MBD (1987) How useful are the cold pressor test and sustained handgrip exercise with radionuclide ventriculography in the evaluation of patients with coronary artery disease. Br Heart J 57: 319–328
LaVeau PJ, Rozanski A, Krantz DS et al. (1989) Transient left ventricular dysfunction during provocative mental stress in patients with coronary artery disease. Am Heart J 118: 1–8
Albro PC, Gould KL, Westcott RJ et al. (1978) Noninvasive assessment of coronary stenoses by myocardial imaging during pharmacological coronary vasodilation. III. Clinical trial. Am J Cardiol 42: 751–760
Cates CU, Kronenberg MW, Collins HW, Sandler MP (1989) Dipyridamole radionuclide ventriculography: a test with high specificity for severe coronary artery disease. J Am Coll Cardiol 13: 841–851
Picano E (1989) Dipyridamole-echocardiography test: historical background and physiologic basis. Eur Heart J 10: 365–376
Foulds T, Mackinnon J (1960) Controlled double blind trial of Persantin in treatment of angina pectoris. Br Med J 241: 835–838
Kinsella D, Troup W, McGregor M (1962) Studies with a new coronary vasodilator drug: persantin. Am Heart J 63: 146–151
Flameng W, Wusten B, Schaper W (1974) On the distribution of myocardial blood flow II. Effects of arterial stenosis and vasodilatation. Basic Res Cardiol 69: 435–446
Tauchert M, Behrenbreck DW, Hoetzel J, Hilger HH (1976) EM neuer pharmakologischer Test zur diagnose der Koronarinsuffizienz. Deutsche Medizin Wochenschrift 101: 37–42
Szegi J, Szentmiklosi AJ, Cseppento A (1987) On the action of specific drugs influencing the adenosine induced activation of cardiac purinoceptors. In: Papp J Gy (ed), Cardiovascular Pharmacology 1987: Results, Concepts and Perspectives. Budapest: Akademiai Kiado: 591–599
Gould KL (1978) Noninvasive assessment of coronary stenoses by myocardial perfusion imaging during pharmacologic coronary vasodilatation. 1 Physiologic basis and experimental validation. Am J Cardiol 41: 267–278
Harris D, Taylor D, Condon B, Ackery D, Conway N (1982) Myocardial imaging with dipyridamole: comparison of the sensitivity and specificity of thallium-201 versus Muga. Eur J Nuc Med 7: 1–5
Wilson RF, Laughlin DE, Ackell PH et al. (1985) Transluminal, subselective measurement of coronary artery blood flow velocity and vasodilator reserve in man. Circulation 72: 82–92
Feldman RL, Nichols WW, Pepine CJ, Conti CR (1981) Acute effects of intravenous dipyridamole on regional coronary haemodynamics and metabolism. Circulation 64: 333–344
Chambers CE, Brown KA (1988) Dipyridamole induced ST segment depression during thallium-201 imaging in patients with coronary artery disease: Angiographic and haemodynamic determinants. J Am Coll Cardiol 12: 37–41
Harris DNF (1982) The use of dipyridamole with myocardial imaging. MD Thesis, Bristol University
Margonato A, Chierchia S, Cianflone D et al. (1987) Limitations of dipyridamole-echocardiography in effort angina pectoris. Am J Cardiol 59: 225–230
Pennell DJ, Underwood SR, Ell PJ, Swanton RH, Walker JM, Longmore DB (1990) The detection of coronary artery disease by magnetic resonance imaging using intravenous dipyridamole. J Comp Assist Tomogr 14: 167–170
Pennell DJ, Underwood SR, Ell PJ, Swanton RH, Walker JM, Longmore DB (1990) Magnetic resonance imaging using dipyridamole: A comparison with thallium-201 emission tomography. Br Heart J (in press)
Bryant DJ, Payne JA, Firmin DN, Longmore DB (1984) Measurement of flow with NMR imaging using a gradient pulse and phase difference technique. J Comput Assist Tomogr 8: 588–593
Underwood SR, Gill CRW, Firmin DN et al. (1988) Left ventricular volume measured rapidly by oblique magnetic resonance imaging. Br Heart J 60: 188–195
Josephson RA, Weiss JL, Flaherty JE, Ouyang P, Shapiro EP (1986) Dipyridamole echocar-diography detects vulnerable myocardium in the early post-infarction period (Abstract). Circulation 74 (Suppl II): 469
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: 848–854
Ferrara N, Bonaduce D, Leosco D et al. (1986) Two dimensional echocardiographic evaluation of ventricular asynergy induced by dipyridamole: Correlation with thallium scanning. Clin Cardiol 9: 437–442
Zhu YY, Lee W, Botvinick E et al. (1988) The clinical and pathophysiologic implications of pain, ST abnormalities and scintigraphic changes induced during dipyridamole infusion: Their relationships to the peripheral haemodynamic response. Am Heart J 116: 1071–1080
Sylven C, Beerman B, Jonzon B, Brandt R (1986) Angina pectoris-like pain provoked by intravenous adenosine in healthy volunteers. Br Med J 293: 227–230
Longmore DB, Klipstein RH, Underwood SR et al. (1985) Dimensional accuracy of magnetic resonance in studies of the heart. Lancet i: 1360–1362
Pflugfelder PW, Wisenberg G, Prato FS, Turner KL, Carroll SE (1986) Serial imaging of canine myocardial infarction by in vivo nuclear magnetic resonance. J Am Coll Cardiol 7: 843–849
Stein I (1949) Observations on the action of ergonovine on the coronary circulation and its use in the diagnosis of coronary artery inssufficiency. Am Heart J 37: 36–45
Ruskin A (1947) Pitressin test of coronary insufficiency. Am Heart J 36: 569–579
Payne RM, Horowitz LD, Mullins CM (1973) Comparison of isometric exercise and angiotensin infusion as stress test for evaluation of left ventricular function. Am J Cardiol 31: 428–435
Ferrara N, Leosco D, Longobardi G et al. (1986) Use of the epinephrine test in diagnosis of coronary artery disease. Am J Cardiol 58: 241–245
Fujita T, Ryuichi R, Matsumoto R (1986) Isoproterenol infusion stress two-dimensional echocardiography in diagnosis of coronary artery disease in elderly patients. Jpn Heart J 27: 287–297
Tuttle RR, Mills J (1975) Dobutamine, development of a new catecholamine to selectively increase cardiac contractility. Circ Res 36: 185–196
Leier CV, Heban PT, Huss P et al. (1978) Comparative systemic and regional haemodynamic effects of dopamine and dobutamine in patients with cardiomyopathic heart failure. Circulation 58: 466–475
Sakamoto T, Yamada T (1977) Haemodynamic effects of dobutamine in patients following open heart surgery. Circulation 55: 525–533
McGillem MJ, DeBoe SF, Friedman HZ, Mancini GBJ (1988) The effects of dopamine and dobutamine on regional function in the presence of rigid coronary stenoses and subcritical impairments of reactive hyperaemia. Am Heart J 115: 970–977
Mannering D, Cripps T, Leech G et al. (1988) The dobutamine stress test as an alternative to exercise testing after acute myocardial infarction. Br Heart J 59: 521–526
Mason JR, Palac RT, Freeman ML et al. (1984) Thallium scintigraphy during dobutamine infusion: Nonexercise dependent screening test for coronary disease. Am Heart J 107: 481–485
Freeman ML, Palac R, Mason J et al. (1984) A comparison of dobutamine and supine bicycle exercise for radionuclide cardiac stress testing. Clin Nucl Med 9: 251–255
Berthe C, Pierard LA, Hiernaux M et al. (1986) Predicting the extent and location of coronary artery disease in acute myocardial infarction by echocardiography during dobutamine infusion. Am Heart J 58: 1167–1172
Nayler GL, Firmin DN, Longmore DB (1986) Blood flow imaging by cine magnetic resonance. J Comp Assist Tomogr 10: 715–722
Underwood SR, Firmin DN, Klipstein RH, Rees RSO, Longmore DB (1987) Magnetic resonance velocity mapping: clinical application of a new technique. Br Heart J 57: 404–412
Pierard LA, Berthe C, Albert A, Carlier AJ, Kulbertus HE (1989) Haemodynamic alterations during ischaemia induced by dobutamine stress testing. Eur Heart J 10: 783–790
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Pennell, D.J., Underwood, S.R. (1991). Stress magnetic resonance imaging in coronary artery disease. In: van der Wall, E.E., de Roos, A. (eds) Magnetic Resonance Imaging in Coronary Artery Disease. Developments in Cardiovascular Medicine, vol 118. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3772-0_11
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DOI: https://doi.org/10.1007/978-94-011-3772-0_11
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