The Clinical Utility and Enduring Versatility of Stress Echocardiography - 26/07/19

Doi : 10.1016/j.hlc.2019.02.188

Jing Xian Quah, MBBS, FRACP ^a, Kim Greaves, MBBS, MD, FRACP ^a,^b, Liza Thomas, MBBS, PhD, FRACP ^c,^d,^e, Tony Stanton, MBChB, PhD, FRACP ^a,^b,^f,^⁎
^a Department of Cardiology, Sunshine Coast University Hospital, Brisbane, Qld, Australia
^b University of the Sunshine Coast, Brisbane, Qld, Australia
^c Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
^d Department of Cardiology, Westmead Hospital, Sydney, NSW, Australia
^e South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, Australia
^f School of Medicine, Griffith University, Sunshine Coast University Hospital, Brisbane, Qld, Australia

^⁎Corresponding author at: Department of Cardiology, Sunshine Coast University Hospital, 6 Doherty St, Birtinya, QLD, 4575, Australia.Department of CardiologySunshine Coast University Hospital6 Doherty StBirtinyaQLD4575Australia

Résumé

Stress echocardiography is an established cardiac imaging modality for the detection and quantification of severity of coronary artery disease. In recent years, there has also been an increasing use of stress echocardiography in the assessment of non-ischaemic cardiac disease given its ability to assess functional capacity and haemodynamic changes with exercise which can help guide therapy and inform prognosis. The emerging use of strain, myocardial contrast and three-dimensional (3D) echocardiography further assists in improving diagnostic accuracy particularly in patients with coronary artery disease. This paper summarises the protocols, indications and clinical applications of stress echocardiography in both ischaemic and non-ischaemic cardiac disease.

Le texte complet de cet article est disponible en PDF.

Keywords : Stress, Echocardiography, Imaging, Ischaemia, Stress echocardiography