Stress echocardiography : part I : stress echocardiography in coronary heart disease

2019
journal article
review article
1
cris.lastimport.wos2024-04-09T21:27:10Z
dc.abstract.enStress echocardiography (stress echo) is a method in which various stimuli are used to elicit myocardial contractility or provoke cardiac ischemia with simultaneous echocardiographic image acquisition of left ventricular function and valvular flow, if needed. The technique is a well-recognized, safe and widely available stress test used for the diagnosis and assessment of prognosis in coronary heart disease, but may also prove valuable in valvular heart disease. The stressors used include physical exercise, pharmacological agents (dobutamine, vasodilators) and pacing stress, most often with the use of a permanent pacemaker. Two operators should perform the test: a physician experienced in stress echocardiography (at least 100 tests completed under supervision of an expert) and a trained nurse or another doctor. The laboratory should feature a defibrillator and a resuscitation kit with a set of pharmaceuticals, an intubation kit and an AMBU bag. Pacing stress echo requires an external programmer for the implanted permanent pacemaker. Exercise should be the preferred stressor for the diagnosis of ischemic heart disease with alternative of high-dose dobutamine test in cases of contraindications to physical stress. Pacing stress echo is recommended for patients with pacemakers, and dipyridamole test for the assessment of coronary flow reserve. Chest pain in patients with intermediate probability of coronary artery disease, inability to perform physical exercise and non-diagnostic resting or exercise electrocardiography are indications for stress echo. The test is also used in symptomatic patients after revascularization or patients qualified for revascularization for functional assessment of coronary artery stenosis. Low-dose dobutamine test is usually performed in patients after myocardial infarction or with moderate-to-severe left ventricular dysfunction to assess myocardial viability before potential revascularization.pl
dc.affiliationWydział Lekarski : Instytut Kardiologiipl
dc.cm.date2020-01-07
dc.cm.id94560
dc.contributor.authorPłońska-Gościniak, Edytapl
dc.contributor.authorGackowski, Andrzej - 159971 pl
dc.contributor.authorKukulski, Tomaszpl
dc.contributor.authorKasprzak, Jarosław D.pl
dc.contributor.authorSzyszka, Andrzejpl
dc.contributor.authorBraksator, Wojciechpl
dc.contributor.authorGąsior, Zbigniewpl
dc.contributor.authorLichodziejewska, Barbarapl
dc.contributor.authorPysz, Piotrpl
dc.date.accessioned2020-01-17T10:09:14Z
dc.date.available2020-01-17T10:09:14Z
dc.date.issued2019pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number76pl
dc.description.physical45-48pl
dc.description.points20pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume19pl
dc.identifier.doi10.15557/JoU.2019.0006pl
dc.identifier.eissn2451-070Xpl
dc.identifier.issn2084-8404pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/146315
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enstress echocardiographypl
dc.subject.enischemiapl
dc.subject.enviabilitypl
dc.subject.endobutaminepl
dc.subject.endipyridamolepl
dc.subtypeReviewArticlepl
dc.titleStress echocardiography : part I : stress echocardiography in coronary heart diseasepl
dc.title.journalJournal of Ultrasonographypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-09T21:27:10Z
dc.abstract.enpl
Stress echocardiography (stress echo) is a method in which various stimuli are used to elicit myocardial contractility or provoke cardiac ischemia with simultaneous echocardiographic image acquisition of left ventricular function and valvular flow, if needed. The technique is a well-recognized, safe and widely available stress test used for the diagnosis and assessment of prognosis in coronary heart disease, but may also prove valuable in valvular heart disease. The stressors used include physical exercise, pharmacological agents (dobutamine, vasodilators) and pacing stress, most often with the use of a permanent pacemaker. Two operators should perform the test: a physician experienced in stress echocardiography (at least 100 tests completed under supervision of an expert) and a trained nurse or another doctor. The laboratory should feature a defibrillator and a resuscitation kit with a set of pharmaceuticals, an intubation kit and an AMBU bag. Pacing stress echo requires an external programmer for the implanted permanent pacemaker. Exercise should be the preferred stressor for the diagnosis of ischemic heart disease with alternative of high-dose dobutamine test in cases of contraindications to physical stress. Pacing stress echo is recommended for patients with pacemakers, and dipyridamole test for the assessment of coronary flow reserve. Chest pain in patients with intermediate probability of coronary artery disease, inability to perform physical exercise and non-diagnostic resting or exercise electrocardiography are indications for stress echo. The test is also used in symptomatic patients after revascularization or patients qualified for revascularization for functional assessment of coronary artery stenosis. Low-dose dobutamine test is usually performed in patients after myocardial infarction or with moderate-to-severe left ventricular dysfunction to assess myocardial viability before potential revascularization.
dc.affiliationpl
Wydział Lekarski : Instytut Kardiologii
dc.cm.date
2020-01-07
dc.cm.id
94560
dc.contributor.authorpl
Płońska-Gościniak, Edyta
dc.contributor.authorpl
Gackowski, Andrzej - 159971
dc.contributor.authorpl
Kukulski, Tomasz
dc.contributor.authorpl
Kasprzak, Jarosław D.
dc.contributor.authorpl
Szyszka, Andrzej
dc.contributor.authorpl
Braksator, Wojciech
dc.contributor.authorpl
Gąsior, Zbigniew
dc.contributor.authorpl
Lichodziejewska, Barbara
dc.contributor.authorpl
Pysz, Piotr
dc.date.accessioned
2020-01-17T10:09:14Z
dc.date.available
2020-01-17T10:09:14Z
dc.date.issuedpl
2019
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
76
dc.description.physicalpl
45-48
dc.description.pointspl
20
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
19
dc.identifier.doipl
10.15557/JoU.2019.0006
dc.identifier.eissnpl
2451-070X
dc.identifier.issnpl
2084-8404
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/146315
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
stress echocardiography
dc.subject.enpl
ischemia
dc.subject.enpl
viability
dc.subject.enpl
dobutamine
dc.subject.enpl
dipyridamole
dc.subtypepl
ReviewArticle
dc.titlepl
Stress echocardiography : part I : stress echocardiography in coronary heart disease
dc.title.journalpl
Journal of Ultrasonography
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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