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J Am Coll Cardiol, 1999; 33:1485-1490
© 1999 by the American College of Cardiology Foundation
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Supine bicycle versus post–treadmill exercise echocardiography in the detection of myocardial ischemia: a randomized single-blind crossover trial

Shamim M. Badruddin, MDa, Anwar Ahmad, MDa, Judith Mickelson, MD, FACCa, John Abukhalil, RTa, William L. Winters, MD, MACCa, Sherif F. Nagueh, MD, FACCa and William A. Zoghbi, MD, FACCa

a Section of Cardiology, Baylor College of Medicine and The Methodist Hospital Echocardiography Laboratory, Houston, Texas, USA



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Figure 1 Wall motion score index (WMSI) at rest and maximal exercise in the 74 patients undergoing supine bicycle exercise and post–treadmill exercise echocardiography. Black bars = rest; hatched bars = peak exercise.

 


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Figure 2 Extent of ischemia achieved during supine bicycle exercise (SBE) and post–treadmill exercise (TME) echocardiography, shown as number of ischemic segments. NL = normal; WM = wall motion. Black bars = TME; hatched bars = SBE.

 


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Figure 3 Overall sensitivity and specificity for supine bicycle exercise and post–treadmill exercise echocardiography, in the detection of coronary artery disease. Black bars = supine bicycle; hatched bars = treadmill.

 


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Figure 4 Distribution of echocardiographic image quality with supine bicycle exercise and post–treadmill exercise echocardiography. Black bars = supine bicycle; hatched bars = treadmill.

 


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Figure 5 Distribution of patient and sonographer preference for the stress echocardiography modality. Black bars = supine bicycle; hatched bars = treadmill; open bars = equal.

 





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