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Review
. 2003 Jan;89(1):113-8.
doi: 10.1136/heart.89.1.113.

Stress echocardiography

Thomas H Marwick  1
Affiliations
Review

Stress echocardiography

Thomas H Marwick. Heart. 2003 Jan.
No abstract available

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Figures

Figure 1
Figure 1
Summary of the mean, high, and low values for sensitivity and specificity in studies of > 100 patients with exercise (ExE), dobutamine (DbE), and dipyridamole stress echo (DpyE).
Figure 2
Figure 2
Sensitivity and specificity of thallium rest redistribution (Tl RR), thallium stress-rest reinjection (Tl SRR), Tc-99m sestamibi (MIBI), positron emission tomography (FDG PET), low dose dobutamine echocardiography (LDDE), dobutamine MRI (Db-MRI), and contrast enhanced MRI (C-MRI) for the prediction of viability (defined as recovery of regional function after revascularisation). Modified from Bax et al,17 Kim et al, N Engl J Med 2000;343:1445–53, and Baer et al, J Am Coll Cardiol 1998;31:1040–8.
See this image and copyright information in PMC

References

    1. Armstrong WF. Echocardiography in coronary artery disease. Progr Cardiovasc Dis 1988;30:267–88. - PubMed
    1. Picano E, Lattanzi F, Orlandini A, et al. Stress echocardiography and the human factor: the importance of being expert. J Am Coll Cardiol 1991;17:666–9. ▸ This highly cited paper is among the most important in the stress echo literature. It emphasises the need for a learning curve even among expert echocardiographers. - PubMed
    1. Hoffmann R, Lethen H, Marwick T, et al. Analysis of interinstitutional observer agreement in interpretation of dobutamine stress echocardiograms. J Am Coll Cardiol 1996;27:330–6. ▸ The first of a series of multicentre studies that have highlighted the consequences of subjective reading on the concordance of stress echo interpretation between experts. Although subsequent papers have chronicled an improvement with standard reading criteria and technical advances, the need remains for a standard quantitative tool. - PubMed
    1. White CW, Wright CB, Doty DB, et al. Does visual interpretation of the coronary arteriogram predict the physiologic importance of a coronary stenosis? N Engl J Med 1984;310:819–24. - PubMed
    1. O’Keefe JH, Jr, Barnhart CS, Bateman TM. Comparison of stress echocardiography and stress myocardial perfusion scintigraphy for diagnosing coronary artery disease and assessing its severity. Am J Cardiol 1995;75:25D–34D. - PubMed