Detection of coronary artery disease in diabetic hypertensive patients using conventional transthoratic echocardiography at rest

Zhang, Jie; Fan, Ji-Xu; Sun, Chengbo; Liu, Yan; Wang, Yan; Guo, Yujin; Li, Honge

doi:10.1007/s10554-015-0653-7

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…It is widely available and sensitivity can be improved by the addition of a contrast [ 57 ]. In patients with hypertension and/or diabetes, findings such as reduced coronary sinus flow may predict CAD with good sensitivity and specificity [ 58 ].…”

Section: Echocardiographymentioning

confidence: 99%

Preoperative Cardiovascular Assessment of the Renal Transplant Recipient: A Narrative Review

Elango

Papalois

2021

JCM

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Patients with end-stage kidney disease (ESKD) have a high prevalence of cardiovascular disease; it is the leading cause of death in these patients and the optimisation of their cardiovascular health may improve their post-transplant outcomes. Patients awaiting renal transplant often spend significant amounts of time on the waiting list allowing for the assessment and optimisation of their cardiovascular system. Coronary artery disease (CAD) is commonly seen in these patients and we explore the possible functional and anatomical investigations that can help assess and manage CAD in renal transplant candidates. We also discuss other aspects of cardiovascular assessment and management including arrhythmias, impaired ventricular function, valvular disease, lifestyle and pulmonary arterial hypertension. We hope that this review can form a basis for centres hoping to implement an enhanced recovery after surgery (ERAS) protocol for renal transplantation.

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Section: Echocardiographymentioning

confidence: 99%

Preoperative Cardiovascular Assessment of the Renal Transplant Recipient: A Narrative Review

Elango

Papalois

2021

JCM

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“…In patients without known CAD or a previous MI, the finding of resting wall motion abnormalities correlates with perfusion abnormalities on pharmacologic stress testing [27] . Many CKD patients have hypertension and/or diabetes, and findings from resting echocardiography such as reduced coronary sinus flow may predict CAD with good sensitivity and specificity [28] . While all these findings do not especially pertain to transplant candidates, they may provide sufficient reason to obtain resting echocardiography in all transplant candidates …”

Section: Resting Echocardiographymentioning

confidence: 99%

Screening for cardiovascular disease before kidney transplantation

Palepu

Prasad

2015

WJT

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Pre-kidney transplant cardiac screening has garnered particular attention from guideline committees as an approach to improving post-transplant success. Screening serves two major purposes: To more accurately inform transplant candidates of their risk for a cardiac event before and after the transplant, thereby informing decisions about proceeding with transplantation, and to guide pre-transplant management so that posttransplant success can be maximized. Transplant candidates on dialysis are more likely to be screened for coronary artery disease than those not being considered for transplantation. Thorough history and physical examination taking, resting electrocardiography and echocardiography, exercise stress testing, myocardial perfusion scintigraphy, dobutamine stress echocardiography, cardiac computed tomography, cardiac biomarker measurement, and cardiac magnetic resonance imaging all play contributory roles towards screening for cardiovascular disease before kidney transplantation. In this review, the importance of each of these screening procedures for both coronary artery disease and other forms of cardiac disease are discussed.

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Coronary sinus flow is reduced in methamphetamine abusers: a transthoracic echocardiographic study

Wei

Zheng

Chen

et al. 2018

Int J Cardiovasc Imaging

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To compare the coronary sinus flow among healthy participants, methamphetamine abusers without chest pain and those with chest pain. One hundred and eight methamphetamine abusers: 53 ones without chest pain, 55 ones with chest pain, free of ascertained coronary artery disease, were enrolled in this study. A control group of 50 age-matched male healthy participants was studied for comparison. Standard 2D, flow and tissue Doppler echo with measurements of cardiac morphologic and functional indicators, coronary sinus flow, and inferior vena cava (IVC) ultrasound with measurements of the IVC dimensions and their collapsibility index were performed, respectively. Compared to healthy participants, methamphetamine abusers had higher blood pressure, greater left ventricular mass index and more impaired diastolic function, with preserved cardiac sizes, systolic function and right atrial pressure. Methamphetamine abusers with chest pain had faster heart rate than those without chest pain and healthy participants. Coronary sinus flow was significantly less in methamphetamine abusers than in healthy participants (P < 0.05), and was extremely lower in those with chest pain than in healthy participants (about one-fourth) (P < 0.01). The area under the curve (AUC) of coronary sinus flow was 0.913 (0.864-0.962), and the cutoff value with 221.65 mL/min had sensitivity of 83.4%, specificity of 87.2% and accuracy of 85.2% for differentiating methamphetamine abusers from healthy participants. While the AUC of coronary sinus flow was 0.996 (0.989-1.003), and the cutoff value with 172.59 mL/min had sensitivity of 100%, specificity of 93.3% and accuracy of 96.5% for predicting methamphetamine abusers with chest pain. Coronary sinus flow is significant reduced in methamphetamine abusers, which is maybe a good indicator for indentifying methamphetamine abusers from normal population, and for predicting methamphetamine abusers with chest pain.

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Detection of coronary artery disease in diabetic hypertensive patients using conventional transthoratic echocardiography at rest

Cited by 3 publications

References 20 publications

Preoperative Cardiovascular Assessment of the Renal Transplant Recipient: A Narrative Review

Preoperative Cardiovascular Assessment of the Renal Transplant Recipient: A Narrative Review

Screening for cardiovascular disease before kidney transplantation

Coronary sinus flow is reduced in methamphetamine abusers: a transthoracic echocardiographic study

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