| Detection of myocardial viability using stress echocardiography. | |
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MedLine Citation:
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PMID: 9183619 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Asynergic myocardial regions in patients with coronary artery disease can be viable. They may have the ability to improve their function after restoring coronary blood flow. Asynergic but viable myocardial regions have a positive inotropic reserve which can be stimulated by catecholamines. Because echocardiography is an established method for evaluating regional left ventricular function, it has the potential to detect the inotropic response of asynergic myocardial regions. In the clinical setting, prediction of left ventricular functional improvement after revascularization is particularly important. Dobutamine stress echocardiography is the most frequently used stress echocardiographic test for detection of myocardial viability. Dobutamine is infused at low rates of 2.5 to 20 micrograms.kg-1.min-1 to detect myocardial viability. This paper reports on the sensitivity and specificity of the method for the detection of viability and its usefulness for prediction of left ventricular functional improvement after revascularization. |
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Authors:
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W Krahwinkel; T Ketteler; J Wolfertz; J Gödke; I Krakau; L J Ulbricht; W Mecklenbeck; H Gülker |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: European heart journal Volume: 18 Suppl D ISSN: 0195-668X ISO Abbreviation: Eur. Heart J. Publication Date: 1997 Jun |
Date Detail:
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Created Date: 1997-08-21 Completed Date: 1997-08-21 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8006263 Medline TA: Eur Heart J Country: ENGLAND |
Other Details:
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Languages: eng Pagination: D111-6 Citation Subset: IM |
Affiliation:
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Wuppertal Heart Centre, Department of Cardiology, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Cardiotonic Agents / diagnostic use* Dobutamine / diagnostic use* Echocardiography / methods* Exercise Test / methods* Female Humans Male Middle Aged Myocardial Infarction / diagnosis* Myocardial Stunning / diagnosis* Myocardium / pathology Predictive Value of Tests Sensitivity and Specificity Ventricular Function, Left / physiology |
| Chemical | |
Reg. No./Substance:
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0/Cardiotonic Agents; 34368-04-2/Dobutamine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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