Prognostic Value of Exercise Echocardiography in Patients With Diabetes Mellitus and Known or Suspected Coronary Artery Disease

Garrido, Iris P.; Peteiro, Jesús; García-Lara, Juan; Montserrat, Lorenzo; Aldama, Guillermo; Vázquez-Rodríguez, Jose-Manuel; Álvarez, Nemesio; Castro‐Beiras, Alfonso

doi:10.1016/j.amjcard.2005.03.029

Cited by 14 publications

(6 citation statements)

References 16 publications

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“…The presence (or absence) of inducible wall motion abnormalities separates patients with different prognoses. Information has been obtained from data banks of thousands of patients-also with multicentre design-for exercise, [121][122][123][124][125][126][127][128][129][130][131][132][133][134][135][136][137] dobutamine, 83, and dipyridamole. 34,158,159,164,[167][168][169]188, A normal stress echocardiogram yields an annual risk of 0.4-0.9% based on a total of 9000 patients, 137 the same as for a normal stress myocardial perfusion scan.…”

Section: Prognostic Value Of Inducible Myocardial Ischaemiamentioning

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: Prognostic Value Of Inducible Myocardial Ischaemiamentioning

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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“…Garrido et al [ 11 ] assessed the value of EE for prediction of cardiac events in 214 patients with DM. Twenty-eight developed cardiac events (15 cardiac deaths and 13 MI) during a follow-up of 44 ± 16 months.…”

Section: Discussionmentioning

confidence: 99%

“…Exercise echocardiography (EE) is a valuable method for diagnosis, risk stratification and prognosis of CAD [ 3 , 11 - 14 ]. This technique has the advantages of wide availability, safety and low cost, provides information on left ventricular function, exercise capacity, and presence, location and extension of wall motion abnormalities [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Prognostic value of exercise echocardiography in diabetic patients

Oliveira

Barreto‐Filho

Oliveira

et al. 2009

Cardiovasc Ultrasound

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Background: Coronary artery disease (CAD) is the leading cause of death in diabetic patients. Although exercise echocardiography (EE) is established as a useful method for diagnosis and stratification of risk for CAD in the general population, there are few studies on its value as a prognostic tool in diabetic patients. The purpose of this investigation was to evaluate the value of EE in predicting cardiac events in diabetics.

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“…Negative results on exercise stress echocardiography predict favorable patient outcomes [ 10 ]. Exercise stress testing has also been found to be of prognostic value for women; [ 11 ] the elderly; [ 12 ] patients with diabetes mellitus [ 13 ], angina pectoris [ 14 ], or acute myocardial infarction; [ 15 – 17 ] and in patients who have undergone coronary artery bypass grafting (CABG) [ 18 ]. Monitoring such subpopulation for abnormal wall motion with exercise stress echocardiography is useful for predicting cardiovascular events.…”

Section: Overviewmentioning

confidence: 99%

Practical guidance for the implementation of stress echocardiography

et al. 2018

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Exercise stress testing has been widely undertaken for the diagnosis of heart diseases. The accurate assessment of clinical conditions can be conducted by comparing the findings obtained from the results of stress echocardiography with the changes in the blood/heart rate and electrocardiograms. Numerous overseas studies have reported the utility of stress echocardiography in diagnosing myocardial ischemia; in Japan, the use of this modality for this purpose was included in the national health insurance reimbursable list in 2012. Nevertheless, stress echocardiography is far from being a widespread practice in Japan. This might be due to insufficient equipment (e.g., ergometers, space for test implementation) at each medical institution, shortage of technicians and sonographers who are well experienced and who are responsible for obtaining images during stress testing. The other possible reasons include the limited evidence available in Japan and the lack of a standardized testing protocol. Further dissemination of the practice of exercise stress echocardiography in this country is deemed necessary to establish satisfactory evidence for the use of stress echocardiography in the Japanese population. To this end, efforts are underway to develop a standardized protocol and report format to be adopted throughout Japan. We here present a guideline created by the Guideline Development Committee of the Japanese Society of Echocardiography that describes safe and effective stress echocardiography protocols and report formats. The readers are encouraged to perform exercise stress echocardiography using the proposed template for consensus document and report attached to this guideline.

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Prognostic Value of Exercise Echocardiography in Patients With Diabetes Mellitus and Known or Suspected Coronary Artery Disease

Cited by 14 publications

References 16 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)

Prognostic value of exercise echocardiography in diabetic patients

Practical guidance for the implementation of stress echocardiography

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