STATE-OF-THE-ART PAPER
Stress Echocardiography
Current Methodology and Clinical Applications
William F. Armstrong, MD, FACC*,* and
William A. Zoghbi, MD, FACC
* Departments of Internal Medicine, Divisions of Cardiology, University of Michigan, Ann Arbor, Michigan
Baylor College of Medicine, Houston, Texas
Manuscript received October 6, 2004;
revised manuscript received December 8, 2004,
accepted December 14, 2004.
* Reprint requests and correspondence: Dr. William F. Armstrong, Department of Internal Medicine, Division of Cardiology, Women’s L3119, 1500 East Medical Center Drive, Ann Arbor, Michigan 48109. (Email: wfa{at}umich.edu).
Stress echocardiography is commonly employed for the clinical management of known or suspected coronary artery disease. This review discusses the accuracy of the technique, which is equivalent to that of competing imaging techniques, as well as its overall role in patient management. The utilization of stress echocardiographic modalities in clinical presentations, such as chest pain, congestive heart failure, and valvular heart disease, and preoperative risk assessment, as well as determining myocardial viability, are discussed.
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Abbreviations and Acronyms
| | CAD = coronary artery disease | | DSE = dobutamine stress echocardiography | | ECG = electrocardiogram | | LAD = left anterior descending coronary artery | | LV = left ventricle/ventricular | | WMA = wall motion abnormality |
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