Prognostic issues in stress echocardiography

Previous investigations confirm the accuracy of stress echocardiography for the diagnosis of coronary artery disease in patients who present with chest pain syndromes, in patients undergoing coronary interventions, and in patients before noncardiac surgery. The use of stress echo to determine progno...

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Bibliographic Details
Published in:Progress in cardiovascular diseases 1997-05, Vol.39 (6), p.533-542
Main Author: Marcovitz, Pamela A.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cardiovascular system
Coronary Disease - diagnostic imaging
Coronary Disease - epidemiology
Dobutamine
Echocardiography - methods
Exercise Test
Heart - diagnostic imaging
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Myocardial Stunning - diagnostic imaging
Prognosis
Radionuclide Imaging
Risk Factors
Ultrasonic investigative techniques
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Summary:Previous investigations confirm the accuracy of stress echocardiography for the diagnosis of coronary artery disease in patients who present with chest pain syndromes, in patients undergoing coronary interventions, and in patients before noncardiac surgery. The use of stress echo to determine prognosis is less well investigated. Several recent studies have been published utilizing which use stress echocardiographic techniques to evaluate prognosis in the general population of those referred for echocardiographic stress testing. These show the ability of both exercise and pharmacologic stress echo to stratify a referral population into subsets of low, high, and intermediate risk. Further studies are needed to determine whether these initial observations are validated on longer follow-up and whether stress echocardiography will play a role in therapeutic management through assessment of outcomes.
ISSN:0033-0620
1532-8643
DOI:10.1016/S0033-0620(97)80012-6