Document Detail

Peak treadmill exercise echocardiography.
MedLine Citation:
PMID:  20201789     Owner:  NLM     Status:  MEDLINE    
Stress echocardiography is a useful tool for the clinical decision making process, given its accuracy and demonstrated prognostic value. Among available stress echocardiography techniques, exercise is safer and more physiologic, therefore must be considered the first choice for patients able to exercise. Peak exercise echocardiography has greater sensitivity than post-exercise imaging. Image quality of apical views at peak exercise is similar than that of images acquired during the immediate post-exercise period. Although more demanding than post-exercise treadmill imaging, the successfulness of peak treadmill exercise imaging may be improved with some skills. The role of new technology is promising for exercise echo. Doppler tissue and speckle imaging can assess myocardial velocities and deformation. However, although Doppler tissue imaging increases the agreement and accuracy among novel readers, it has not been demonstrated to be better than visual assessment when the latter is performed by experienced observers. Speckle imaging can easily measure myocardial torsion, which has been found to be altered under ischemic conditions. Finally, 3-dimensional echocardiography can also be used during exercise since a full volume of the entire myocardium can be obtained in a few cardiac cycles.
Jesus Peteiro; Alberto Bouzas-Mosquera
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Reviews on recent clinical trials     Volume:  5     ISSN:  1876-1038     ISO Abbreviation:  Rev Recent Clin Trials     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-05     Completed Date:  2010-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101270873     Medline TA:  Rev Recent Clin Trials     Country:  United Arab Emirates    
Other Details:
Languages:  eng     Pagination:  94-102     Citation Subset:  IM    
Laboratory of Echocardiography, Department of Cardiology, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
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MeSH Terms
Coronary Disease / ultrasonography
Echocardiography* / methods
Exercise Test* / methods

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

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