Document Detail


Stress echocardiography in special groups: in women, in left bundle branch block, in hypertension and after heart transplantation.
MedLine Citation:
PMID:  9183613     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M Schartl; S Beckmann; W Bocksch; S Fateh-Moghadam; E Fleck
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European heart journal     Volume:  18 Suppl D     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-08-21     Completed Date:  1997-08-21     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  D63-7     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Virchow Klinikum, Berlin, Germany.
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MeSH Terms
Descriptor/Qualifier:
Bundle-Branch Block / ultrasonography*
Diagnosis, Differential
Echocardiography / methods*
Exercise Test / methods*
Female
Heart Transplantation / ultrasonography*
Humans
Hypertension / diagnosis*
Male
Sensitivity and Specificity
Sex Factors

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


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