Prognostic value of pharmacological stress echocardiography in patients with known or suspected coronary artery disease

Pingitore, Alessandro; Picaño, Eugenio; Varga, Albert; Gigli, G.; Cortigiani, Lauro; Previtali, Mario; Minardi, Giovanni; Colosso, Massimo Quarta; Lowenstein, Jorge; Mathias, Wilson; Landi, Patrizia

doi:10.1016/s0735-1097(99)00423-4

Cited by 137 publications

(16 citation statements)

References 33 publications

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“…All patients underwent pharmacological echocardiography with either dobutamine or dipyridamole, according to recommended standard protocols [10][11][12]. The patients were studied using an incremental regimen of 5, 10, 20, 30, 40 mg?kg body weight -1…”

Section: Stress Echocardiographymentioning

confidence: 99%

Bronchial asthma causing symptoms suggestive of angina pectoris

Kiss

Veegh²,

Schragel³

et al. 2003

Eur Respir J

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Many patients undergoing pharmacological stress echocardiography for assessing symptoms suggestive of coronary artery disease are found to have a normal test. This study was performed to evaluate whether asthma symptoms simulate angina pectoris.A total 41 consecutive patients who had a negative pharmacological stress echocardiography and had been evaluated for angina pectoris were studied. Patients with previously known coronary artery disease or obstructive lung disease were excluded. Lung function testing was performed and the authors proceeded either with the administration of a bronchodilator or with methacholine challenge testing. A questionnaire was applied to assess the symptoms dyspnoea, chest tightness and substernal burning at the end of the challenge test. In addition, patients were asked if they were experiencing those symptoms that made them seek medical attention. From the 41 patients tested, 26 patients showed a significant bronchial hyperreactivity (mean ¡ SD provocative concentration causing a 20% fall in the forced expiratory volume in one second 5.93¡4.50 mg?mL -1 ). A total of 20 patients confirmed having those symptoms that led to cardiac evaluation.It was concluded that symptoms suggestive of angina pectoris might represent bronchial asthma. This should be considered in the differential diagnosis of angina pectoris.

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Section: Stress Echocardiographymentioning

confidence: 99%

Bronchial asthma causing symptoms suggestive of angina pectoris

Kiss

Veegh²,

Schragel³

et al. 2003

Eur Respir J

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“…The diagnostic and prognostic value of dipyridamole SE for the detection of coronary artery disease (CAD) has been validated in various studies [30,31]. The diagnostic value of dipyridamole SE performed 3 -6 months after successful PTCA to detect restenosis has been examined in three studies including in a total of 190 patients [4,11,21].…”

Section: Studies Using Dipyridamole Echocardiographymentioning

confidence: 99%

“…The data presented and discussed in this review show that SE is a valuable diagnostic method for detecting patients with significant restenosis in the post-PTCA setting. The prognostic relevance of abnormal SE test results in predicting future cardiovascular events has been well defined [30,31,[50][51][52][53][54][55]. Across all the different modalities used to induce cardiovascular stress, the mean sensitivity of SE was 74% (CI 69-79%) and the mean specificity was 87% (CI 84-89%).…”

Section: Given This Informationmentioning

confidence: 99%

Diagnostic value of stress echocardiography for the detection of restenosis after PTCA

Scherhag¹,

Pfleger²,

Haase³

et al. 2005

International Journal of Cardiology

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“…The combination of imaging tests significantly increases the diagnostic accuracy for CAD and several authors have used stress echocardiography (EE) in this subgroup patients [3][4][5] .…”

Section: Introductionmentioning

confidence: 99%