Document Detail

The changing paradigm of stress echocardiography: risk stratification, prognosis, and future directions.
MedLine Citation:
PMID:  20499770     Owner:  NLM     Status:  MEDLINE    
The use of stress echocardiography has undergone considerable evolution in the past 3 decades. Although stress echocardiography was first introduced as a noninvasive diagnostic tool for determining the presence or absence of coronary artery disease (CAD), it later served a prognostic role as well. The importance of stress echocardiography in risk stratification and prognosis is substantially undervalued by clinicians. The identification of patients at risk for future cardiac events has become a primary objective in noninvasive evaluation of patients with suspected or known CAD. In particular, the ability of stress echocardiography to identify patients at low (< 1%), intermediate (1%-5%), or high (> 5%) risk for future cardiac events is essential to decision making in patient management. Moreover, previous studies have conclusively demonstrated the incremental prognostic value of stress echocardiography over clinical and treadmill exercise data in predicting future cardiac events. This article presents a primarily single-center experience of retrospective and observational studies that address the current role of stress echocardiography and summarize its use for risk stratification, prognosis, and determining clinical outcomes, as well as cost-effective integration of such information in patient management decision making.
Siu-Sun Yao; Catherine Weinberg; Sripal Bangalore; Farooq A Chaudhry
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hospital practice (1995)     Volume:  38     ISSN:  2154-8331     ISO Abbreviation:  Hosp Pract (1995)     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-08-04     Revised Date:  2013-04-10    
Medline Journal Info:
Nlm Unique ID:  101268948     Medline TA:  Hosp Pract (1995)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  26-39     Citation Subset:  AIM; IM    
Department of Medicine, Division of Cardiology, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, NY 10025, USA.
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MeSH Terms
Atrial Function, Left / physiology
Coronary Artery Disease / diagnosis,  ultrasonography
Cost-Benefit Analysis
Echocardiography / trends*
Exercise Test*
Middle Aged
Myocardial Infarction / diagnosis,  ultrasonography
Physical Exertion / physiology*
Retrospective Studies
Risk Assessment / methods
Treatment Outcome
Ventricular Dysfunction, Right / diagnosis,  ultrasonography

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