Contrast Echocardiography in Australian Clinical Practice

Hamilton-Craig, Christian; Boga, T.; West, Cathy; Kelly, Natalie; Anscombe, Russell; Burstow, Darryl J.; Platts, D.

doi:10.1016/j.hlc.2010.02.001

Cited by 9 publications

(5 citation statements)

References 21 publications

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“…Hamilton-Craig et al found similar results in their contrast study, 21 which resulted in incomplete endocardial definition for 11% of patients due to the reduced definition of the basal myocardial segments. This is a recognized phenomenon known as "basal attenuation," in which shadowing of basal segments is seen due to a high concentration of contrast in the apical blood pool near the ultrasound transducer, 21 and may explain why several noncontrast images of our patients received superior grades to their contrast counterparts. Future studies on why this is happening and what can be done to aid visualization of the basal segments would be beneficial to the field of echocardiography.…”

Section: Recommendations For Future Studymentioning

confidence: 77%

The Value of Contrast Echocardiography

Treiber¹,

Khandheria²

2016

Journal of Patient-Centered Research and Reviews

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Section: Recommendations For Future Studymentioning

confidence: 77%

The Value of Contrast Echocardiography

Treiber¹,

Khandheria²

2016

Journal of Patient-Centered Research and Reviews

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“…obesity, chest deformity) and operator dependency, although some of this can be offset with the use of (relatively expensive) non-nephrotoxic intravenous contrast material. 48…”

Section: Diagnostic Modalitiesmentioning

confidence: 99%

Current approach to the diagnosis of atherosclerotic coronary artery disease: more questions than answers

Nelson

Ardissino

Psaltis

2019

Therapeutic Advances in Chronic Disease

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Despite its commonality in routine clinical practice, the approach to a diagnosis of atherosclerotic coronary artery disease remains complex and, in part, contentious. The traditional dogma linking ischaemia to hard clinical outcomes has been questioned and reframed over the years; rather than being a predictor of hard clinical outcomes, the degree of ischaemia may simply be a marker of atherosclerotic disease burden. A renewed interest in the imaging of plaque burden has spawned the contemporary role of CT imaging for not only diagnosis and prognosis, but also for dictating downstream management. As the technology develops and evidence expands, decisions on investigative modalities remain centred around patient factors, local availability, test performance and cost. This review summarizes the available methods for diagnosis in the symptomatic patient and provides an overview of the current evidence behind functional and anatomical approaches.

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“…ECG based exercise stress testing remains first line for younger males with low risk that are able to exercise. Direct referrals for stress echocardiography is debated presently, but evidence points to superior cost efficacy when using a patient centric approach[60,61]. Much of the exercise and imaging quality deficits can be overcome by pharmacological agents e.g ., dobutamine and contrast agents[60].…”

Section: Evaluation Of Coronary Artery Disease In Multiethnic Communimentioning

confidence: 99%

Risk stratification for coronary artery disease in multi-ethnic populations: Are there broader considerations for cost efficiency?

Iyngkaran

Chan

Liew

et al. 2019

WJM

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Coronary artery disease (CAD) screening and diagnosis are core cardiac specialty services. From symptoms, autopsy correlations supported reductions in coronary blood flow and dynamic epicardial and microcirculatory coronaries artery disease as etiologies. While angina remains a clinical diagnosis, most cases require correlation with a diagnostic modality. At the onset of the evidence building process much research, now factored into guidelines were conducted among population and demographics that were homogenous and often prior to newer technologies being available. Today we see a more diverse multi-ethnic population whose characteristics and risks may not consistently match the populations from which guideline evidence is derived. While it would seem very unlikely that for the majority, scientific arguments against guidelines would differ, however from a translational perspective, there will be populations who differ and importantly there are cost-efficacy questions, e.g ., the most suitable first-line tests or what parameters equate to an adequate test. This article reviews non-invasive diagnosis of CAD within the context of multi-ethnic patient populations.

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Contrast Echocardiography in Australian Clinical Practice

Cited by 9 publications

References 21 publications

The Value of Contrast Echocardiography

The Value of Contrast Echocardiography

Current approach to the diagnosis of atherosclerotic coronary artery disease: more questions than answers

Risk stratification for coronary artery disease in multi-ethnic populations: Are there broader considerations for cost efficiency?

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