| Stress echocardiography in special groups: in women, in left bundle branch block, in hypertension and after heart transplantation. | |
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MedLine Citation:
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PMID: 9183613 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The non-invasive diagnosis of coronary artery disease by exercise electrocardiography is less accurate in women than in men, with a high rate of false-positive results in women. In contrast, recent studies have demonstrated that stress echocardiography in women is more accurate than exercise echocardiography and that the significantly higher specificity of stress electrocardiography may have the benefit of avoiding unnecessary angiography in women. Exercise-induced changes in the electrocardiogram are non-diagnostic in the presence of left bundle branch block or basal ST changes. In these patients, stress echocardiography can be used instead of conventional scintigraphy for the detection of coronary artery disease, but further echocardiographic studies are needed to confirm the promising results. Exercise electrocardiography and exercise echocardiography have been reported to be disappointing in the early detection of cardiac allograft vasculopathy after heart transplantation, and dobutamine stress echocardiography overestimates the incidence of angiographic evidence of cardiac allograft vasculopathy. However, compared to intravascular ultrasound imaging, dobutamine stress echocardiography seems to be a suitable non-invasive method for detecting cardiac allograft vasculopathy. |
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Authors:
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M Schartl; S Beckmann; W Bocksch; S Fateh-Moghadam; E Fleck |
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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: D63-7 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Virchow Klinikum, Berlin, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bundle-Branch Block
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ultrasonography* Diagnosis, Differential Echocardiography / methods* Exercise Test / methods* Female Heart Transplantation / ultrasonography* Humans Hypertension / diagnosis* Male Sensitivity and Specificity Sex Factors |
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