Skip to main content
NCBI home page
Heart logoLink to Heart
. 1997 Aug;78(Suppl 1):12–18. doi: 10.1136/hrt.78.suppl_1.12

Stress echocardiography for assessing myocardial ischaemia and viable myocardium

Roxy Senior 1,2,3, Antoinette Kenny 1,2,3, Petros Nihoyannopoulos 1,2,3
PMCID: PMC484840  PMID: 9301515

Full text

PDF
12

Images in this article

12Image
on p.12
13Image
on p.13
13Image
on p.13
14Image
on p.14
15Image
on p.15

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Afridi I., Kleiman N. S., Raizner A. E., Zoghbi W. A. Dobutamine echocardiography in myocardial hibernation. Optimal dose and accuracy in predicting recovery of ventricular function after coronary angioplasty. Circulation. 1995 Feb 1;91(3):663–670. doi: 10.1161/01.cir.91.3.663. [DOI] [PubMed] [Google Scholar]
  2. Applegate R. J., Dell'Italia L. J., Crawford M. H. Usefulness of two-dimensional echocardiography during low-level exercise testing early after uncomplicated acute myocardial infarction. Am J Cardiol. 1987 Jul 1;60(1):10–14. doi: 10.1016/0002-9149(87)90974-x. [DOI] [PubMed] [Google Scholar]
  3. Armstrong W. F. Stress echocardiography for detection of coronary artery disease. Circulation. 1991 Sep;84(3 Suppl):I43–I49. [PubMed] [Google Scholar]
  4. Baer F. M., Voth E., Deutsch H. J., Schneider C. A., Schicha H., Sechtem U. Assessment of viable myocardium by dobutamine transesophageal echocardiography and comparison with fluorine-18 fluorodeoxyglucose positron emission tomography. J Am Coll Cardiol. 1994 Aug;24(2):343–353. doi: 10.1016/0735-1097(94)90286-0. [DOI] [PubMed] [Google Scholar]
  5. Barilla F., Gheorghiade M., Alam M., Khaja F., Goldstein S. Low-dose dobutamine in patients with acute myocardial infarction identifies viable but not contractile myocardium and predicts the magnitude of improvement in wall motion abnormalities in response to coronary revascularization. Am Heart J. 1991 Dec;122(6):1522–1531. doi: 10.1016/0002-8703(91)90267-l. [DOI] [PubMed] [Google Scholar]
  6. Beker B., Vered Z., Bloom N. V., Ohad D., Battler A., Di Segni E. Decreased thickening of normal myocardium with transient increased wall thickness during stress echocardiography with atrial pacing. J Am Soc Echocardiogr. 1994 Jul-Aug;7(4):381–387. doi: 10.1016/s0894-7317(14)80196-x. [DOI] [PubMed] [Google Scholar]
  7. Chaitman B. R. The changing role of the exercise electrocardiogram as a diagnostic and prognostic test for chronic ischemic heart disease. J Am Coll Cardiol. 1986 Nov;8(5):1195–1210. doi: 10.1016/s0735-1097(86)80401-6. [DOI] [PubMed] [Google Scholar]
  8. Cigarroa C. G., deFilippi C. R., Brickner M. E., Alvarez L. G., Wait M. A., Grayburn P. A. Dobutamine stress echocardiography identifies hibernating myocardium and predicts recovery of left ventricular function after coronary revascularization. Circulation. 1993 Aug;88(2):430–436. doi: 10.1161/01.cir.88.2.430. [DOI] [PubMed] [Google Scholar]
  9. Crouse L. J., Harbrecht J. J., Vacek J. L., Rosamond T. L., Kramer P. H. Exercise echocardiography as a screening test for coronary artery disease and correlation with coronary arteriography. Am J Cardiol. 1991 Jun 1;67(15):1213–1218. doi: 10.1016/0002-9149(91)90929-f. [DOI] [PubMed] [Google Scholar]
  10. Dagianti A., Penco M., Agati L., Sciomer S., Dagianti A., Rosanio S., Fedele F. Stress echocardiography: comparison of exercise, dipyridamole and dobutamine in detecting and predicting the extent of coronary artery disease. J Am Coll Cardiol. 1995 Jul;26(1):18–25. doi: 10.1016/0735-1097(95)00121-f. [DOI] [PubMed] [Google Scholar]
  11. Di Carli M. F., Davidson M., Little R., Khanna S., Mody F. V., Brunken R. C., Czernin J., Rokhsar S., Stevenson L. W., Laks H. Value of metabolic imaging with positron emission tomography for evaluating prognosis in patients with coronary artery disease and left ventricular dysfunction. Am J Cardiol. 1994 Mar 15;73(8):527–533. doi: 10.1016/0002-9149(94)90327-1. [DOI] [PubMed] [Google Scholar]
  12. Fioretti P. M., Poldermans D., Salustri A., Forster T., Bellotti P., Boersma E., McNeill A. J., el-Said E. S., Roelandt J. R. Atropine increases the accuracy of dobutamine stress echocardiography in patients taking beta-blockers. Eur Heart J. 1994 Mar;15(3):355–360. doi: 10.1093/oxfordjournals.eurheartj.a060503. [DOI] [PubMed] [Google Scholar]
  13. Hecht H. S., DeBord L., Shaw R., Chin H., Dunlap R., Ryan C., Myler R. K. Supine bicycle stress echocardiography versus tomographic thallium-201 exercise imaging for the detection of coronary artery disease. J Am Soc Echocardiogr. 1993 Mar-Apr;6(2):177–185. doi: 10.1016/s0894-7317(14)80488-4. [DOI] [PubMed] [Google Scholar]
  14. Krivokapich J., Child J. S., Gerber R. S., Lem V., Moser D. Prognostic usefulness of positive or negative exercise stress echocardiography for predicting coronary events in ensuing twelve months. Am J Cardiol. 1993 Mar 15;71(8):646–651. doi: 10.1016/0002-9149(93)91004-2. [DOI] [PubMed] [Google Scholar]
  15. La Canna G., Alfieri O., Giubbini R., Gargano M., Ferrari R., Visioli O. Echocardiography during infusion of dobutamine for identification of reversibly dysfunction in patients with chronic coronary artery disease. J Am Coll Cardiol. 1994 Mar 1;23(3):617–626. doi: 10.1016/0735-1097(94)90745-5. [DOI] [PubMed] [Google Scholar]
  16. Lalka S. G., Sawada S. G., Dalsing M. C., Cikrit D. F., Sawchuk A. P., Kovacs R. L., Segar D. S., Ryan T., Feigenbaum H. Dobutamine stress echocardiography as a predictor of cardiac events associated with aortic surgery. J Vasc Surg. 1992 May;15(5):831–842. doi: 10.1067/mva.1992.36057. [DOI] [PubMed] [Google Scholar]
  17. Lee K. S., Marwick T. H., Cook S. A., Go R. T., Fix J. S., James K. B., Sapp S. K., MacIntyre W. J., Thomas J. D. Prognosis of patients with left ventricular dysfunction, with and without viable myocardium after myocardial infarction. Relative efficacy of medical therapy and revascularization. Circulation. 1994 Dec;90(6):2687–2694. doi: 10.1161/01.cir.90.6.2687. [DOI] [PubMed] [Google Scholar]
  18. Marcovitz P. A., Armstrong W. F. Accuracy of dobutamine stress echocardiography in detecting coronary artery disease. Am J Cardiol. 1992 May 15;69(16):1269–1273. doi: 10.1016/0002-9149(92)91219-t. [DOI] [PubMed] [Google Scholar]
  19. Marwick T. H. Current status of non-invasive techniques for the diagnosis of myocardial ischemia. Acta Clin Belg. 1992;47(1):1–5. doi: 10.1080/17843286.1992.11718203. [DOI] [PubMed] [Google Scholar]
  20. Marwick T. H., Nemec J. J., Pashkow F. J., Stewart W. J., Salcedo E. E. Accuracy and limitations of exercise echocardiography in a routine clinical setting. J Am Coll Cardiol. 1992 Jan;19(1):74–81. doi: 10.1016/0735-1097(92)90054-q. [DOI] [PubMed] [Google Scholar]
  21. Marwick T., Willemart B., D'Hondt A. M., Baudhuin T., Wijns W., Detry J. M., Melin J. Selection of the optimal nonexercise stress for the evaluation of ischemic regional myocardial dysfunction and malperfusion. Comparison of dobutamine and adenosine using echocardiography and 99mTc-MIBI single photon emission computed tomography. Circulation. 1993 Feb;87(2):345–354. doi: 10.1161/01.cir.87.2.345. [DOI] [PubMed] [Google Scholar]
  22. Maurer G., Nanda N. C. Two dimensional echocardiographic evaluation of exercise-induced left and right ventricular asynergy: correlation with thallium scanning. Am J Cardiol. 1981 Oct;48(4):720–727. doi: 10.1016/0002-9149(81)90151-x. [DOI] [PubMed] [Google Scholar]
  23. Mazeika P. K., Nadazdin A., Oakley C. M. Prognostic value of dobutamine echocardiography in patients with high pretest likelihood of coronary artery disease. Am J Cardiol. 1993 Jan 1;71(1):33–39. doi: 10.1016/0002-9149(93)90706-i. [DOI] [PubMed] [Google Scholar]
  24. McNeill A. J., Fioretti P. M., el-Said S. M., Salustri A., Forster T., Roelandt J. R. Enhanced sensitivity for detection of coronary artery disease by addition of atropine to dobutamine stress echocardiography. Am J Cardiol. 1992 Jul 1;70(1):41–46. doi: 10.1016/0002-9149(92)91387-j. [DOI] [PubMed] [Google Scholar]
  25. Myers J. H., Stirling M. C., Choy M., Buda A. J., Gallagher K. P. Direct measurement of inner and outer wall thickening dynamics with epicardial echocardiography. Circulation. 1986 Jul;74(1):164–172. doi: 10.1161/01.cir.74.1.164. [DOI] [PubMed] [Google Scholar]
  26. Nihoyannopoulos P., Marsonis A., Joshi J., Athanassopoulos G., Oakley C. M. Magnitude of myocardial dysfunction is greater in painful than in painless myocardial ischemia: an exercise echocardiographic study. J Am Coll Cardiol. 1995 Jun;25(7):1507–1512. doi: 10.1016/0735-1097(95)00096-m. [DOI] [PubMed] [Google Scholar]
  27. Perrone-Filardi P., Pace L., Prastaro M., Piscione F., Betocchi S., Squame F., Vezzuto P., Soricelli A., Indolfi C., Salvatore M. Dobutamine echocardiography predicts improvement of hypoperfused dysfunctional myocardium after revascularization in patients with coronary artery disease. Circulation. 1995 May 15;91(10):2556–2565. doi: 10.1161/01.cir.91.10.2556. [DOI] [PubMed] [Google Scholar]
  28. Pirolo J. S., Hutchins G. M., Moore G. W. Infarct expansion: pathologic analysis of 204 patients with a single myocardial infarct. J Am Coll Cardiol. 1986 Feb;7(2):349–354. doi: 10.1016/s0735-1097(86)80504-6. [DOI] [PubMed] [Google Scholar]
  29. Piérard L. A., De Landsheere C. M., Berthe C., Rigo P., Kulbertus H. E. Identification of viable myocardium by echocardiography during dobutamine infusion in patients with myocardial infarction after thrombolytic therapy: comparison with positron emission tomography. J Am Coll Cardiol. 1990 Apr;15(5):1021–1031. doi: 10.1016/0735-1097(90)90236-i. [DOI] [PubMed] [Google Scholar]
  30. Poldermans D., Fioretti P. M., Forster T., Thomson I. R., Boersma E., el-Said E. M., du Bois N. A., Roelandt J. R., van Urk H. Dobutamine stress echocardiography for assessment of perioperative cardiac risk in patients undergoing major vascular surgery. Circulation. 1993 May;87(5):1506–1512. doi: 10.1161/01.cir.87.5.1506. [DOI] [PubMed] [Google Scholar]
  31. Pozzoli M. M., Fioretti P. M., Salustri A., Reijs A. E., Roelandt J. R. Exercise echocardiography and technetium-99m MIBI single-photon emission computed tomography in the detection of coronary artery disease. Am J Cardiol. 1991 Feb 15;67(5):350–355. doi: 10.1016/0002-9149(91)90040-r. [DOI] [PubMed] [Google Scholar]
  32. Quiñones M. A., Verani M. S., Haichin R. M., Mahmarian J. J., Suarez J., Zoghbi W. A. Exercise echocardiography versus 201Tl single-photon emission computed tomography in evaluation of coronary artery disease. Analysis of 292 patients. Circulation. 1992 Mar;85(3):1026–1031. doi: 10.1161/01.cir.85.3.1026. [DOI] [PubMed] [Google Scholar]
  33. Rahimtoola S. H. The hibernating myocardium. Am Heart J. 1989 Jan;117(1):211–221. doi: 10.1016/0002-8703(89)90685-6. [DOI] [PubMed] [Google Scholar]
  34. Robertson W. S., Feigenbaum H., Armstrong W. F., Dillon J. C., O'Donnell J., McHenry P. W. Exercise echocardiography: a clinically practical addition in the evaluation of coronary artery disease. J Am Coll Cardiol. 1983 Dec;2(6):1085–1091. doi: 10.1016/s0735-1097(83)80334-9. [DOI] [PubMed] [Google Scholar]
  35. Ryan T., Armstrong W. F., O'Donnell J. A., Feigenbaum H. Risk stratification after acute myocardial infarction by means of exercise two-dimensional echocardiography. Am Heart J. 1987 Dec;114(6):1305–1316. doi: 10.1016/0002-8703(87)90530-8. [DOI] [PubMed] [Google Scholar]
  36. Ryan T., Segar D. S., Sawada S. G., Berkovitz K. E., Whang D., Dohan A. M., Duchak J., White T. E., Foltz J., O'Donnell J. A. Detection of coronary artery disease with upright bicycle exercise echocardiography. J Am Soc Echocardiogr. 1993 Mar-Apr;6(2):186–197. doi: 10.1016/s0894-7317(14)80489-6. [DOI] [PubMed] [Google Scholar]
  37. Sawada S. G., Ryan T., Conley M. J., Corya B. C., Feigenbaum H., Armstrong W. F. Prognostic value of a normal exercise echocardiogram. Am Heart J. 1990 Jul;120(1):49–55. doi: 10.1016/0002-8703(90)90159-u. [DOI] [PubMed] [Google Scholar]
  38. Sawada S. G., Segar D. S., Ryan T., Brown S. E., Dohan A. M., Williams R., Fineberg N. S., Armstrong W. F., Feigenbaum H. Echocardiographic detection of coronary artery disease during dobutamine infusion. Circulation. 1991 May;83(5):1605–1614. doi: 10.1161/01.cir.83.5.1605. [DOI] [PubMed] [Google Scholar]
  39. Senior R., Basu S., Handler C., Raftery E. B., Lahiri A. Diagnostic accuracy of dobutamine stress echocardiography for detection of coronary heart disease in hypertensive patients. Eur Heart J. 1996 Feb;17(2):289–295. doi: 10.1093/oxfordjournals.eurheartj.a014847. [DOI] [PubMed] [Google Scholar]
  40. Senior R., Glenville B., Basu S., Sridhara B. S., Anagnostou E., Stanbridge R., Edmondson S. J., Handler C. E., Raftery E. B., Lahiri A. Dobutamine echocardiography and thallium-201 imaging predict functional improvement after revascularisation in severe ischaemic left ventricular dysfunction. Br Heart J. 1995 Oct;74(4):358–364. doi: 10.1136/hrt.74.4.358. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Senior R., Lahiri A. Enhanced detection of myocardial ischemia by stress dobutamine echocardiography utilizing the "biphasic" response of wall thickening during low and high dose dobutamine infusion. J Am Coll Cardiol. 1995 Jul;26(1):26–32. doi: 10.1016/0735-1097(95)00139-q. [DOI] [PubMed] [Google Scholar]
  42. Senior R., Soman P., Khattar R. S., Lahiri A. Prognostic value of dobutamine stress echocardiography in patients undergoing diagnostic coronary arteriography. Am J Cardiol. 1997 Jun 15;79(12):1610–1614. doi: 10.1016/s0002-9149(97)00208-7. [DOI] [PubMed] [Google Scholar]
  43. Senior R., Sridhara B. S., Anagnostou E., Handler C., Raftery E. B., Lahiri A. Synergistic value of simultaneous stress dobutamine sestamibi single-photon-emission computerized tomography and echocardiography in the detection of coronary artery disease. Am Heart J. 1994 Oct;128(4):713–718. doi: 10.1016/0002-8703(94)90269-0. [DOI] [PubMed] [Google Scholar]
  44. Smart S. C., Sawada S., Ryan T., Segar D., Atherton L., Berkovitz K., Bourdillon P. D., Feigenbaum H. Low-dose dobutamine echocardiography detects reversible dysfunction after thrombolytic therapy of acute myocardial infarction. Circulation. 1993 Aug;88(2):405–415. doi: 10.1161/01.cir.88.2.405. [DOI] [PubMed] [Google Scholar]
  45. Vanoverschelde J. L., Wijns W., Depré C., Essamri B., Heyndrickx G. R., Borgers M., Bol A., Melin J. A. Mechanisms of chronic regional postischemic dysfunction in humans. New insights from the study of noninfarcted collateral-dependent myocardium. Circulation. 1993 May;87(5):1513–1523. doi: 10.1161/01.cir.87.5.1513. [DOI] [PubMed] [Google Scholar]
  46. Wann L. S., Faris J. V., Childress R. H., Dillon J. C., Weyman A. E., Feigenbaum H. Exercise cross-sectional echocardiography in ischemic heart disease. Circulation. 1979 Dec;60(6):1300–1308. doi: 10.1161/01.cir.60.6.1300. [DOI] [PubMed] [Google Scholar]
  47. Williams M. J., Odabashian J., Lauer M. S., Thomas J. D., Marwick T. H. Prognostic value of dobutamine echocardiography in patients with left ventricular dysfunction. J Am Coll Cardiol. 1996 Jan;27(1):132–139. doi: 10.1016/0735-1097(95)00393-2. [DOI] [PubMed] [Google Scholar]

Articles from Heart are provided here courtesy of BMJ Publishing Group

RESOURCES