Diagnostic accuracy of peak exercise echocardiography in coronary artery disease: Comparison with thallium-201 myocardial scintigraphy

Galanti, Giorgio; Sciagrà, Roberto; Comeglio, Marco; Taddei, Tamara; Bonechi, Francesco; Giusti, F.; Malfanti, P L; Bisi, G

doi:10.1016/0002-8703(91)90278-p

Cited by 68 publications

(6 citation statements)

References 26 publications

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“…Exercise, [47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66] high-dose dobutamine, 30,34,58, and highdose (accelerated or with atropine) dipyridamole 6,29,34,50,64,70,74, have not only similar accuracies, but also similar sensitivities 36,120 (Tables 3 and 4). Familiarity with all forms of stress is an index of the quality of the echo lab.…”

Section: Diagnostic Accuracymentioning

confidence: 99%

Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC)

Sicari

Nihoyannopoulos

Evangelista

et al. 2008

European Journal of Echocardiography

604

411

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Stress echocardiography is the combination of 2D echocardiography with a physical, pharmacological or electrical stress. The diagnostic end point for the detection of myocardial ischemia is the induction of a transient worsening in regional function during stress. Stress echocardiography provides similar diagnostic and prognostic accuracy as radionuclide stress perfusion imaging, but at a substantially lower cost, without environmental impact, and with no biohazards for the patient and the physician. Among different stresses of comparable diagnostic and prognostic accuracy, semisupine exercise is the most used, dobutamine the best test for viability, and dipyridamole the safest and simplest pharmacological stress and the most suitable for combined wall motion coronary flow reserve assessment. The additional clinical benefit of myocardial perfusion contrast echocardiography and myocardial velocity imaging has been inconsistent to date, whereas the potential of adding - coronary flow reserve evaluation of left anterior descending coronary artery by transthoracic Doppler echocardiography adds another potentially important dimension to stress echocardiography. New emerging fields of application taking advantage from the versatility of the technique are Doppler stress echo in valvular heart disease and in dilated cardiomyopathy. In spite of its dependence upon operator's training, stress echocardiography is today the best (most cost-effective and risk-effective) possible imaging choice to achieve the still elusive target of sustainable cardiac imaging in the field of noninvasive diagnosis of coronary artery disease.

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Section: Diagnostic Accuracymentioning

confidence: 99%

Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC)

Sicari

Nihoyannopoulos

Evangelista

et al. 2008

European Journal of Echocardiography

604

411

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] This systematic review focuses on direct comparative studies on stress echocardiography and perfusion imaging in order to provide the most objective information. Nevertheless, a potential risk of pooling data from different studies is to mix patients with different clinical characteristics and risk profile.…”

Section: Figmentioning

confidence: 99%

Noninvasive evaluation of ischaemic heart disease: myocardial perfusion imaging or stress echocardiography?

Schinkel

Bax

Geleijnse

et al. 2003

European Heart Journal

159

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“…However, only two of these studies specifically addressed the ability of these techniques to detect the presence of multivessel disease. Galanti et al evaluated 53 patients without previous myocardial infarction or resting wall motion abnormality and found exercise echocardiography to be less sensitive than myocardial perfusion imaging for the detection of multivessel disease 22. However, the study included only 13 patients with multivessel disease, and specificities of the two imaging modes were not documented.…”

Section: Discussionmentioning

confidence: 99%

Assessment of myocardial perfusion and contractile function by inotropic stress Tc-99m sestamibi SPECT imaging and echocardiography for optimal detection of multivessel coronary artery disease

Khattar

Senior

Lahiri

1998

Heart

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Objective-To assess whether inotropic stress myocardial perfusion imaging, echocardiography, or a combination of the two could enhance the detection of multivessel disease, over and above clinical and exercise electrocardiographic data. Design-100 consecutive patients investigated by exercise electrocardiography and diagnostic coronary arteriography underwent simultaneous inotropic stress Tc99m sestamibi SPECT (MIBI) imaging and echocardiography. MIBI imaging and echocardiographic data were analysed using a 12 segment left ventricular model, and each segment was ascribed to a particular coronary artery territory. The presence of perfusion defects with MIBI imaging or of wall thickening abnormality with echocardiography in at least two coronary artery territories at peak stress was taken as diagnostic of multivessel disease. Arteriographic evidence of > 50% stenosis was considered significant. Results-56 patients had multivessel disease. The sensitivity of the combination of MIBI imaging and echocardiography for detecting this was greater than either MIBI imaging or echocardiography alone (82%, 68%, and 68%, respectively; p = 0.005). Clinical and exercise electrocardiographic variables gave an R 2 value of 18.2% for predicting multivessel disease. The addition of either MIBI imaging (R 2 = 29.2%; p = 0.002) or echocardiography (R 2 = 28.8%; p < 0.001) enhanced the detection of multivessel disease, and the inclusion of both had further incremental value (R 2 = 34.8%; p = 0.003). Age (p = 0.03), MIBI imaging (p = 0.007), and echocardiography (p = 0.001) were independent predictors of multivessel disease. Conclusions-The assessment of both myocardial perfusion and contractile function by simultaneous inotropic stress MIBI imaging and echocardiography optimises the non-invasive detection of multivessel disease. (Heart 1998;79:274-280)

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Diagnostic accuracy of peak exercise echocardiography in coronary artery disease: Comparison with thallium-201 myocardial scintigraphy

Cited by 68 publications

References 26 publications

Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC)

Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC)

Noninvasive evaluation of ischaemic heart disease: myocardial perfusion imaging or stress echocardiography?

Assessment of myocardial perfusion and contractile function by inotropic stress Tc-99m sestamibi SPECT imaging and echocardiography for optimal detection of multivessel coronary artery disease

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