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Stress Echocardiography

Its Role in the Diagnosis and Evaluation of Coronary Artery Disease

  • Book
  • © 1994

Overview

Authors:
  1. Thomas H. Marwick

    1. Cleveland Clinic Foundation, Cleveland, USA

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Part of the book series: Developments in Cardiovascular Medicine (DICM, volume 149)

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Table of contents (10 chapters)

  1. Front Matter

    Pages i-xvii
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  2. Basic Considerations in the Pathophysiology and Detection of Ischemic Left Ventricular Dysfunction

    • G. H. Mairesse, T. Marwick
    Pages 1-10

  3. How to Perform Stress Echocardiography — Practical Aspects

    • T. Marwick
    Pages 11-37

  4. Exercise Echocardiography

    • T. Marwick
    Pages 39-59

  5. Stress Echocardiography using Exercise-Simulating Techniques

    • T. Marwick
    Pages 61-80

  6. Stress Echocardiography with Vasoactive Agents

    • T. Marwick
    Pages 81-94

  7. Comparison of Exercise and Pharmacologic Stress Echocardiography and Electrocardiography

    • T. Marwick, J-M. Detry
    Pages 95-111

  8. Comparison of Stress Echocardiography and Scintigraphic Techniques for the Diagnosis of Coronary Artery Disease

    • T. Marwick, J. A. Melin
    Pages 113-137

  9. Use of Stress Echocardiography for Assessment of Interventions and Medical Treatments

    • T. Marwick
    Pages 139-145

  10. Prognostic Value of Stress Echocardiography

    • T. Marwick
    Pages 147-162

  11. Echocardiographic Determination of Myocardial Viability

    • T. Marwick, J-L. Vanoverschelde
    Pages 163-178

  12. Back Matter

    Pages 179-182
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Keywords

About this book

W. F. ARMSTRONG While stress echocardiography is not the first technique to be applied to patients for the diagnosis of coronary artery disease, it represents an impor­ tant clinical tool, likely to become of increasing pertinence in today's era of cost containment and mandated cost-effectiveness of diagnosis. It may be the most rapidly expanding area of clinical echocardiography today. Stress echocardiography as we know it today represents the natural con­ clusion and merger of observations made over fifty years ago. In 1935 Tenn­ ant and Wiggers demonstrated that the immediate result of a coronary oc­ clusion, was an instantaneous abnormality of wall motion [1]. As viewed from the surface of the heart in an open chest dog preparation, cyanosis and obvious paradoxical bulging of the left ventricular wall was noted. At a similar time Masters and co-workers, using fairly rudimentary exercise de­ vices, described the response of the human cardiovascular system to sustained exercise (Figure 1) [2]. These two observations diverged for four decades while clinical investigation was pursued along the two parallel lines.

Authors and Affiliations

  • Cleveland Clinic Foundation, Cleveland, USA

    Thomas H. Marwick

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