DOBUTAMINE STRESS ECHOCARDIOGRAPHY

被引：36
作者：
BACH, DS [1 ]
ARMSTRONG, WF [1 ]
机构：
[1] UNIV MICHIGAN, DEPT MED,DIV CARDIOL,UH B1F245,BOX 0022, 1500 E MED CTR DR, ANN ARBOR, MI 48109 USA
来源：
AMERICAN JOURNAL OF CARDIOLOGY | 1992年 / 69卷 / 20期
关键词：
D O I：
10.1016/0002-9149(92)90651-E
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Two-dimensional echocardiography is a versatile, accurate, and readily available method for the assessment of cardiac anatomy and function, and extensive experience has been gained in the analysis of left ventricular wall motion. Using modern imaging techniques, regional as well as global wall motion analysis can be performed. Echocardiography can be used in conjunction with a protocol for either exercise or pharmacologic cardiovascular stress in order to identify the distribution and severity of coronary artery disease, with the induction of a regional wall motion abnormality being a sign of myocardial ischemia. The use of dobutamine infusion to accomplish stress echocardiography is a safe, accurate, and practical method for the diagnosis of coronary artery disease in patients unable to exercise. In addition to the evaluation of inducible ischemia, preliminary work is being performed with dobutamine stress echocardiography for the assessment of risk and patient prognosis following acute myocardial infarction and as an indication of tissue viability for myocardium that remains dysfunctional at rest following thrombolytic therapy.
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页码：H90 / H96
页数：7
相关论文
共 29 条
[1]  
[Anonymous], 1989, NEW ENGL J MED, V320, P618
[2]   COMPLEMENTARY VALUE OF TWO-DIMENSIONAL EXERCISE ECHOCARDIOGRAPHY TO ROUTINE TREADMILL EXERCISE TESTING [J].
ARMSTRONG, WF ;
ODONNELL, J ;
DILLON, JC ;
MCHENRY, PL ;
MORRIS, SN ;
FEIGENBAUM, H .
ANNALS OF INTERNAL MEDICINE, 1986, 105 (06) :829-835
[3]   EFFECT OF PRIOR MYOCARDIAL-INFARCTION AND EXTENT AND LOCATION OF CORONARY-DISEASE ON ACCURACY OF EXERCISE ECHOCARDIOGRAPHY [J].
ARMSTRONG, WF ;
ODONNELL, J ;
RYAN, T ;
FEIGENBAUM, H .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1987, 10 (03) :531-538
[4]   A PRACTICAL APPROACH TO EXERCISE ECHOCARDIOGRAPHY - IMMEDIATE POSTEXERCISE ECHOCARDIOGRAPHY [J].
BERBERICH, SN ;
ZAGER, JRS ;
PLOTNICK, GD ;
FISHER, ML .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1984, 3 (02) :284-290
[5]   PREDICTING THE EXTENT AND LOCATION OF CORONARY-ARTERY DISEASE IN ACUTE MYOCARDIAL-INFARCTION BY ECHOCARDIOGRAPHY DURING DOBUTAMINE INFUSION [J].
BERTHE, C ;
PIERARD, LA ;
HIERNAUX, M ;
TROTTEUR, G ;
LEMPEREUR, P ;
CARLIER, J ;
KULBERTUS, HE .
AMERICAN JOURNAL OF CARDIOLOGY, 1986, 58 (13) :1167-1172
[6]   EARLY RECOVERY OF REGIONAL LEFT-VENTRICULAR FUNCTION AFTER REPERFUSION IN ACUTE MYOCARDIAL-INFARCTION ASSESSED BY SERIAL TWO-DIMENSIONAL ECHOCARDIOGRAPHY [J].
BOURDILLON, PDV ;
BRODERICK, TM ;
WILLIAMS, ES ;
DAVIS, C ;
DILLON, JC ;
ARMSTRONG, WF ;
FINEBERG, N ;
RYAN, T ;
FEIGENBAUM, H .
AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (11) :641-646
[7]   THE STUNNED MYOCARDIUM - PROLONGED, POST-ISCHEMIC VENTRICULAR DYSFUNCTION [J].
BRAUNWALD, E ;
KLONER, RA .
CIRCULATION, 1982, 66 (06) :1146-1149
[8]  
Broderick T M, 1989, J Am Soc Echocardiogr, V2, P315
[9]   RESPONSE OF REPERFUSION-SALVAGED, STUNNED MYOCARDIUM TO INOTROPIC STIMULATION [J].
ELLIS, SG ;
WYNNE, J ;
BRAUNWALD, E ;
HENSCHKE, CI ;
SANDOR, T ;
KLONER, RA .
AMERICAN HEART JOURNAL, 1984, 107 (01) :13-19
[10]   THE PHYSIOLOGICAL-BASIS OF DOBUTAMINE AS COMPARED WITH DIPYRIDAMOLE STRESS INTERVENTIONS IN THE ASSESSMENT OF CRITICAL CORONARY STENOSIS [J].
FUNG, AY ;
GALLAGHER, KP ;
BUDA, AJ .
CIRCULATION, 1987, 76 (04) :943-951
123