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Noninvasive pacemaker stress echocardiography for diagnosis of coronary artery disease

A multicenter study

Eugenio Picano, MD, PhD^*,*, Annalisa Alaimo, MD, Vlad Chubuchny, MD, Edyta Plonska, MD, Vittorio Baldo, MD^||, Umberto Baldini, MD^**, Marina Pauletti, MD^**, Roberto Perticucci, MD, Lucas Fonseca, MD, Hector Ricardo Villarraga, MD, Carlo Emanuelli, MD^¶, Gennaro Miracapillo, MD^||||, Enrico Hoffmann, MD^* and Maurizio De Nes, MedTech^*

^* Institute of Clinical Physiology, Pisa, Italy
Cardiology Division, Palermo Hospital, Palermo, Italy
Ukrainian Institute of Cardiology, Kiev, Ukraine
Cardiology Division, Szecyn Hospital, Szecyn, Poland
^|| Cardiology Division, Rome, Italy
^¶ Cardiology Division, Cremona, Italy
^** Cardiology Division, Livorno Hospital, Livorno, Italy
Cardiology Division, Arezzo Hospital, Arezzo, Italy
Cardiology Division, Santa Luzia Hospital, Brazilia, Brazil
Cardiology Division, Fundacion Valle del Lili Cali, Cali, Colombia
^|||| Cardiology Unit, Grosseto Hospital, Grosseto, Italy

View larger version (16K): [in a new window]   Figure 1 "Standard" and "accelerated" pacing protocols.

View larger version (22K): [in a new window]   Figure 2 Diagnostic value of pacemaker stress echocardiography test. Open bars = new or worsening WMA; solid bars = new, worsening, or fixed WMA. WMA = wall motion abnormalities.

View larger version (19K): [in a new window]   Figure 3 Correlation between wall motion score index (WMSI) at peak pacing stress and angiographically assessed Duke score.

View larger version (20K): [in a new window]   Figure 4 Correlation between peak heart rate (HR) and angiographically assessed Duke score.