Dobutamine Stress Echocardiography for the Diagnosis of Myocardial Viability

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[Myocardial viability in a single-vessel disease: the role of a dobutamine stress echocardiography].

OBJECTIVE To investigate a group of patients that have a significant lesion in a single-vessel and to demonstrate whether or not the sensitivity and specificity of a dobutamine stress echocardiography (DSE) was valuable in the evaluation of myocardial viability for these patients. METHODS Twenty patients who had undergone percutaneous transluminal coronary angioplasty (PTCA) were studied. Thi...

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Pathophysiology of myocardial hibernation. Implications for the use of dobutamine echocardiography to identify myocardial viability.

Since the pioneering works of Tennant and Wiggers, it has been known that total ischaemia leads to a prompt cessation of contraction and eventually results in the appearance of cell damage and irreversible myocardial necrosis. Accordingly, in the minds of many cardiologists, the discovery of an abnormal regional contraction in a patient with coronary artery disease had long been equated with th...

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Detection of myocardial viability by dobutamine stress echocardiography: incremental value of diastolic wall thickness measurement.

OBJECTIVE To assess the diagnostic accuracy of baseline diastolic wall thickness (DWT) alone and as an adjunct to dobutamine stress echocardiography (DSE) for prediction of myocardial viability in patients with ischaemic left ventricular (LV) dysfunction, with the recovery of resting function after revascularisation as the yardstick. PATIENTS 24 patients with ischaemic LV dysfunction (ejectio...

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Stress echocardiography and myocardial contrast echocardiography in viability assessment.

[1] Packer M. The neurohumoral hypothesis: a theory to explain the mechanism of disease progression in heart failure. J Am Coll Cardiol 1992; 20: 248-54. [2] Andrews R, Charlesworth A, Evans A, Cowley AJ. A doubleblind, cross-over comparison of the effects of a loop diuretic and a dopamine receptor agonist as first line therapy in patients with mild congestive heart failure. Eur Heart J 1997; 1...

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Prognostic value of dobutamine stress myocardial contrast perfusion echocardiography.

BACKGROUND Myocardial perfusion (MP) imaging with real-time contrast echocardiography (RTCE) improves the sensitivity of dobutamine stress echocardiography for detecting coronary artery disease. Its prognostic value is unknown. We sought to determine the value of MP and wall motion (WM) analysis during dobutamine stress echocardiography in predicting the outcome of patients with known or suspec...

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ژورنال

عنوان ژورنال: Japanese Heart Journal

سال: 2000

ISSN: 0021-4868,1348-673X

DOI: 10.1536/jhj.41.435