|
|
||||||||||
|
J Am Coll Cardiol, 1983; 2:1085-1091 © 1983 by the American College of Cardiology Foundation |
There has been only modest clinical interest in exercise echocardiography because of the technical limitations of the procedure. Recognizing that there have been recent technical advances in the echocardiographic instruments and that echocardiography should, in theory, be an ideal technique for evaluating exercise-induced wall motion abnormalities, a clinically practical method of performing exercise echocardiograms was developed. By obtaining the echocardiograms immediately after treadmill exercise, with the patient sitting at the treadmill, a high percent of studies adequate for interpretation was obtained (92%). The addition of echocardiography to the treadmill exercise test significantly enhanced the diagnostic yield. In addition, in cases of one and three vessel disease, exercise echocardiography identified stenosis in specific coronary arteries. In patients with two vessel disease and left circumflex obstruction, specific vessel identification was less reliable. A high percent of patients with multivessel disease developed wall motion abnormalities with exercise that persisted for at least 30 minutes. It is concluded that echocardiography performed immediately after exercise with the new generation of echocardiographs can be a practical and useful clinical tool.
This article has been cited by other articles:
![]() |
A. Manrique, A. Hitzel, D. Brasse, and P. Vera Effect of Perfusion Pattern and Imaging Sequence on Gated Perfusion SPECT Evaluation of Myocardial Stunning J. Nucl. Med., January 1, 2005; 46(1): 176 - 183. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. o. Cosar and C. J. O'Connor Hibernation, Stunning, and Preconditioning: Historical Perspective, Current Concepts, Clinical Applications, and Future Implications Seminars in Cardiothoracic and Vascular Anesthesia, June 1, 2003; 7(2): 115 - 140. [Abstract] [PDF] |
||||
![]() |
N. Shirai, H. Yamagishi, M. Yoshiyama, M. Teragaki, K. Akioka, K. Takeuchi, J. Yoshikawa, and H. Ochi Incremental Value of Assessment of Regional Wall Motion for Detection of Multivessel Coronary Artery Disease in Exercise 201Tl Gated Myocardial Perfusion Imaging J. Nucl. Med., April 1, 2002; 43(4): 443 - 450. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. A. Kloner and R. B. Jennings Consequences of Brief Ischemia: Stunning, Preconditioning, and Their Clinical Implications: Part 1 Circulation, December 11, 2001; 104(24): 2981 - 2989. [Abstract] [Full Text] [PDF] |
||||
![]() |
D Pagano, F Fath-Ordoubadi, K J Beatt, J N Townend, R S Bonser, and P G Camici Effects of coronary revascularisation on myocardial blood flow and coronary vasodilator reserve in hibernating myocardium Heart, February 1, 2001; 85(2): 208 - 212. [Abstract] [Full Text] |
||||
![]() |
S. Borges-Neto, A. Javaid, L. K. Shaw, D. F. Kong, M. W. Hanson, R. A. Pagnanelli, G. Ravizzini, and R. E. Coleman Poststress Measurements of Left Ventricular Function with Gated Perfusion SPECT: Comparison with Resting Measurements by Using a Same-Day Perfusion-Function Protocol Radiology, May 1, 2000; 215(2): 529 - 533. [Abstract] [Full Text] |
||||
![]() |
E Barnes, C S R Baker, D P Dutka, O Rimoldi, C A Rinaldi, P Nihoyannopoulos, P G Camici, and R J C Hall Prolonged left ventricular dysfunction occurs in patients with coronary artery disease after both dobutamine and exercise induced myocardial ischaemia Heart, March 1, 2000; 83(3): 283 - 289. [Abstract] [Full Text] |
||||
![]() |
B. L. Gerber, W. Wijns, J.-L. J. Vanoverschelde, G. R. Heyndrickx, B. De Bruyne, J. Bartunek, and J. A. Melin Myocardial perfusion and oxygen consumption in reperfused noninfarcted dysfunctional myocardium after unstable angina: Direct evidence for myocardial stunning in humans J. Am. Coll. Cardiol., December 1, 1999; 34(7): 1939 - 1946. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. A. Rinaldi, A. Z. Linka, N. D. Masani, P. G. Avery, E. Jones, H. Saunders, and R. J. C. Hall Randomized, Double-Blind Crossover Study to Investigate the Effects of Amlodipine and Isosorbide Mononitrate on the Time Course and Severity of Exercise-Induced Myocardial Stunning Circulation, August 25, 1998; 98(8): 749 - 756. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Ambrosio, S. Betocchi, L. Pace, M. A. Losi, P. Perrone-Filardi, A. Soricelli, F. Piscione, J. Taube, F. Squame, M. Salvatore, et al. Prolonged Impairment of Regional Contractile Function After Resolution of Exercise-Induced Angina: Evidence of Myocardial Stunning in Patients With Coronary Artery Disease Circulation, November 15, 1996; 94(10): 2455 - 2464. [Abstract] [Full Text] |
||||
![]() |
H. G. Stratmann, D. L. Janosik, L. E. Mezei, A. L. Mark, and G. A. Williams Atrial Pacing with Two-Dimensional Echocardiography for Evaluation of Chest Pain: Comparison with Thallium 201 Scintigraphy Angiology, November 1, 1991; 42(11): 855 - 865. [Abstract] [PDF] |
||||
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |