Document Detail


Customized exercise echocardiography: beyond detection of coronary artery disease.
MedLine Citation:
PMID:  20380677     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Exercise echocardiography has been established as a reliable diagnostic tool for assessment of myocardial ischemia. However, more recent advances in its technique have expanded its routine clinical use to include quantification of exercise-induced diastolic dysfunction, exercise-induced pulmonary hypertension, and dynamic assessment of mitral and aortic valve function. The indications for exercise echocardiography have increased to include cardiac symptoms such as exertional dyspnea, fatigue, and limited exercise capacity. In light of its expanded capability for evaluating cardiovascular function, we believe that exercise echocardiography should be utilized in a new paradigm of personalized cardiology, in which we regularly investigate individual patient symptoms for endpoints beyond critical myocardial ischemia, for example, exercise-induced pulmonary hypertension. We refer to this refocused use of exercise echocardiography as "customized exercise echocardiography." In this review article, we present current scientific evidence to support our proposed role and discuss the logistical requirements for proper test performance of customized exercise echocardiography.
Authors:
Yukitaka Shizukuda; Sandra L Plummer; Allan Harrelson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  27     ISSN:  1540-8175     ISO Abbreviation:  Echocardiography     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-04-12     Completed Date:  2010-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  186-94     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Diseases, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio 45267, USA. shizukya@uc.edu
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Disease / ultrasonography*
Echocardiography / methods*,  trends*
Exercise Test / trends*
Forecasting*
Humans
Image Enhancement / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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