Three-dimensional stress echocardiography

Author(s):  
Andreas Franke
2020 ◽  
Vol 15 (6) ◽  
pp. 813-819
Author(s):  
S. N. Koretskiy ◽  
O. M. Drapkina ◽  
F. B. Shukurov ◽  
D. K. Vasiliev

Stress echocardiography is a modern widely used method of noninvasive diagnosis of coronary heart disease and stratification of the risk of cardiovascular complications. In addition, exercise echocardiography is an important tool to clarify the localization of ischemia and establish a symptomassociated artery for management of patient with known coronary angiography data. This is especially important in multivessel lesions, the presence of an occluded artery or borderline stenosis. Currently, various stress agents are used for stress echocardiography in clinical practice: pharmacological drugs (dobutamine or adenosine), transesophageal or endocardial pacing, treadmill, semi-supine bicycle. To detect signs of ischemia usually used only visual estimation of local contractility in the two-dimensional gray-scale mode. Modern modes of myocardial imaging, such as speckletracking echocardiography or three-dimensional visualization, are practically not used. In the presented clinical case, the possibility of combining standard and modern imaging modes to clarify the localization and quantification of ischemia in multivessel coronary lesions, including chronic artery occlusion, is shown. As a stress agent, a semi-supine bicycle was chosen, the use of which allowed to obtain a qualitative image of the left ventricular myocardium at rest and at peak load, suitable for assessing deformation and threedimensional visualization. Evaluation of left ventricular myocardial deformation by speckle-tracking echocardiography was more accurate than standard diagnosis in detecting signs of ischemia in a patient with multivessel lesions. Three-dimensional imaging was inferior in sensitivity to speckletracking stress echocardiography and, at present, seems to have more research value.


2011 ◽  
Vol 19 (6) ◽  
pp. 307-310 ◽  
Author(s):  
K. Y. E. Leung ◽  
M. van Stralen ◽  
M. G. Danilouchkine ◽  
G. van Burken ◽  
M. L. Geleijnse ◽  
...  

2008 ◽  
Vol 27 (11) ◽  
pp. 1568-1579 ◽  
Author(s):  
K. Y. Esther Leung ◽  
Marijn van Stralen ◽  
Attila Nemes ◽  
Marco M. Voormolen ◽  
Gerard van Burken ◽  
...  

2018 ◽  
Vol 35 (8) ◽  
pp. 1196-1203 ◽  
Author(s):  
Rafic F. Berbarie ◽  
Elie Dib ◽  
Masood Ahmad

Author(s):  
Rosa Sicari ◽  
Edyta Płońska-Gościniak ◽  
Jorge Lowenstein

Stress echocardiography has evolved over the last 30 years but image interpretation remains subjective and burdened by the operator’s experience. The objective operator-independent assessment of myocardial ischaemia during stress echocardiography remains a technological challenge. Still, adequate quality of two-dimensional images remains a prerequisite to successful quantitative analysis, even using Doppler and non-Doppler based techniques. No new technology has proved to have a higher diagnostic accuracy than conventional visual wall motion analysis. Tissue Doppler imaging and derivatives may reduce inter-observer variability, but still require a dedicated learning curve and special expertise. The development of contrast media in echocardiography has been slow. In the past decade, transpulmonary contrast agents have become commercially available for clinical use. The approved indication for the use of contrast echocardiography currently lies in improving endocardial border delineation in patients in whom adequate imaging is difficult or suboptimal. Real-time three-dimensional echocardiography is potentially useful but limited by low spatial and temporal resolution. It is possible that these technologies may serve as an adjunct to expert visual assessment of wall motion. At present, these quantitative methods require further validation and simplification of analysis techniques.


2000 ◽  
Vol 17 (8) ◽  
pp. 791-794 ◽  
Author(s):  
Shin Takuma ◽  
Carol Cardinale ◽  
Shunichi Homma

2010 ◽  
Vol 23 (6) ◽  
pp. 628-635 ◽  
Author(s):  
Luigi P. Badano ◽  
Denisa Muraru ◽  
Fausto Rigo ◽  
Lorenzo Del Mestre ◽  
Davide Ermacora ◽  
...  

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