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J Am Coll Cardiol, 2005; 45:1739-1747, doi:10.1016/j.jacc.2004.12.078
© 2005 by the American College of Cardiology Foundation
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STATE-OF-THE-ART PAPER

Stress Echocardiography

Current Methodology and Clinical Applications

William F. Armstrong, MD, FACC*,* and William A. Zoghbi, MD, FACC{dagger}

* Departments of Internal Medicine, Divisions of Cardiology, University of Michigan, Ann Arbor, Michigan
{dagger} 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.

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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