Document Detail

Prognostic role of dobutamine stress echocardiography in myocardial viability.
MedLine Citation:
PMID:  16900006     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: The aim of this review is to provide a perspective on the role of dobutamine stress echocardiography to evaluate myocardial viability and assess prognosis in patients with ischemic left ventricular dysfunction. RECENT FINDINGS: Pooled analysis of currently available data demonstrates that dobutamine stress echocardiography provides useful information on recovery of dysfunctional but viable myocardium and prognosis. In fact, improvement of long-term prognosis may be the ultimate clinical challenge in the management of patients with ischemic left ventricular dysfunction. Dobutamine stress echocardiography can be used to assess residual ischemia and contractile reserve, which are significant determinants of prognosis. Additionally, other echocardiographic variables, such as end-diastolic wall thickness, end-systolic volume, and extent of viability, affect outcome after revascularization in patients with ischemic cardiomyopathy. SUMMARY: Dobutamine stress echocardiography provides information on myocardial ischemia, contractile reserve, and other prognostically relevant parameters in patients with ischemic left ventricular dysfunction. This information can be used to select the optimal treatment strategy for these patients and to estimate and improve clinical outcome.
Arend F L Schinkel; Don Poldermans; Abdou Elhendy; Jeroen J Bax
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  21     ISSN:  0268-4705     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-10     Completed Date:  2006-12-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  443-9     Citation Subset:  IM    
Thoraxcenter, Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.
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MeSH Terms
Cardiomyopathies / diagnosis*,  physiopathology
Echocardiography, Stress / methods*
Heart / physiopathology*
Myocardial Contraction / physiology
Myocardial Ischemia / diagnosis,  physiopathology
Tissue Survival / physiology*
Ventricular Dysfunction, Left / diagnosis,  physiopathology

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

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