Document Detail


Contrast echocardiography in Canada: Canadian Cardiovascular Society/Canadian Society of Echocardiography position paper.
MedLine Citation:
PMID:  17440639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
As an adjunct to transthoracic, transesophageal and stress echocardiography, contrast echocardiography (CE) improves the diagnostic accuracy of technically suboptimal studies when used in conjunction with harmonic imaging. Intravenous ultrasound contrast agents are indicated for left ventricular (LV) opacification and improvement of LV endocardial border delineation in patients with suboptimal acoustic windows. Demonstrated benefits of CE include improvement in the accuracy of LV measurements, regional wall motion assessment, evaluation of noncompaction cardiomyopathy, thrombus detection, Doppler signal enhancement and conjunctive use with stress echocardiography. Studies have shown the value of CE in the assessment and quantification of myocardial perfusion, and recent clinical trials have suggested a role for contrast perfusion imaging in the stratification of patients with suspected coronary artery disease. While it adds some time and cost to the echocardiographic study, CE frequently obviates the need for additional specialized, expensive and less accessible cardiac investigations, and allows for prompt and optimal subsequent patient management. Despite its proven advantages, CE is presently underused in Canada, and this situation will, unfortunately, not improve until several barriers to its use are overcome. Resolving these important hurdles is vital to the future of CE and to its eventual implementation into clinical practice of promising contrast-based diagnostic and therapeutic applications, including the assessment of perfusion by myocardial CE.
Authors:
George Honos; Robert Amyot; Jonathan Choy; Howard Leong-Poi; Greg Schnell; Eric Yu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  23     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-18     Completed Date:  2007-05-29     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  351-6     Citation Subset:  IM    
Affiliation:
Sir Mortimer B Davis Jewish General Hospital, Montreal, Quebec, Canada. ghonos@cardio.jgh.mcgill.ca
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MeSH Terms
Descriptor/Qualifier:
Canada
Cardiovascular Diseases / physiopathology,  ultrasonography*
Contrast Media
Echocardiography, Doppler / standards*,  trends
Echocardiography, Stress / methods
Humans
Image Enhancement*
Pulmonary Circulation
Ventricular Function, Left
Chemical
Reg. No./Substance:
0/Contrast Media
Comments/Corrections

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